Joseph Stacker, PA-C
Physician Assistant · Fort Carson, CO
UnclaimedPA-CNPI 1821404286
- Primary taxonomy
- 363A00000X
- Enumerated
- 2014-07-07
- Practice location
- Fort Carson, CO
- Last NPPES update
- 2017-04-05
State licenses
- CO · Physician assistant · PAExpiredthrough 2022verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.