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DR. MARVIN EDGAR SLACK II DO
NPI 1538054283
Student in an Organized Health Care Education/Training Program in Kingman, AZ

Active since June 12, 2025
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409(619) 244-8233 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marvin Edgar Slack Ii Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARVIN EDGAR SLACK II DO (NPI 1538054283) is an individual student in an organized health care education/training program in Kingman, Arizona, licensed in Arizona (R4656) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1538054283
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MARVIN EDGAR SLACK IICredential: DO
Location Address3269 N STOCKTON HILL RDKingman, AZ 86409-3619
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 263-3160
Phone(619) 244-8233
Sole ProprietorNo
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1538054283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in AZ · R4656
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3269 N STOCKTON HILL RD, Kingman, AZ 86409
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY J ESCOBEDO DO, ND, MBA
Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-4466
MS. CARIDAD PADRON MD
Internal Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101
MICHAEL DEBOER D.O
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (702) 222-4307
DR. TANNER JACE HANCOCK DO
Student in an Organized Health Care Education/Training Program
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-3160
MR. MICHAEL MOORE RPH
Pharmacist (Geriatric)
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 263-4884
KRIKOR KRIKORIAN DO
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101
ALEXANDRE GREBENCHTCHIKOV
Family Medicine
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (716) 560-1845
MS. JUVY ESCALANTE PA
Physician Assistant
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409
Mohave County (928) 757-2101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Slack's NPI number?

The NPI number for Marvin Slack is 1538054283. It was assigned to this individual provider in the NPPES registry on June 12, 2025.

Where is Marvin Slack located?

Marvin Slack practices at 3269 N Stockton Hill Rd, Kingman, AZ 86409. The listed phone number is (619) 244-8233.

What is Marvin Slack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marvin Slack was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.