Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARVIN EDGAR SLACK II, DO
ActiveDR. MARVIN EDGAR SLACK II, DO is a Student (Health Education/Training) healthcare provider located in KINGMAN, Arizona. NPI 1538054283 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · KINGMAN, AZ
Registration Details
- NPI Number
- 1538054283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2025 (1.1298312650157 yrs)
- Last Updated
- Jun 12, 2025
- License
-
R4656 (AZ)
Practice Information
- Address
-
3269 N STOCKTON HILL RDKINGMAN, AZ, 864093619Browse AZ providers · Browse ZIP 86409
- Phone
- 6192448233
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in KINGMAN, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MELISSA LYNNE POTTS | D.O. | 1487072443 |
| LINDSAY J ESCOBEDO | DO, ND, MBA | 1003205659 |
| LEVI TAYLOR BALLSTAEDT | D.O | 1619326188 |
| HONG-DIEP NGUYEN | DO | 1093370132 |
| SYLVIE ANNE WOODS | — | 1174133599 |
| REGINA T CONRAD | — | 1649845603 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.