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Robert Slack, DO
NPI 1467467399 · on the registry since 2006
Practice
- Address
- 3300 N Ashton Blvd Ste 450
Lehi, UT 84048 - Phone
- (385) 455-7170
- Fax
- (888) 823-5887
- Organisation at this address
- Forward Medical Pc
Utah Modern Medical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 495 E Abington Ave, Philadelphia, PA
- 3218 E Bell Road, Phoenix, AZ
- 3128 E Desert Cove Ave, Phoenix, AZ
- 4400 Stone Way N, Seattle, WA
- 3128 E Desert Cove Avenue, Phoenix, AZ
- 2929 W Holcombe Blvd, Houston, TX
- 10968 N Alpine Hwy, Highland, UT
- 251 S Colorado Blvd, Denver, CO
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
Family Medicine Physician
Family Medicine Physician
Family Medicine Physician
Family Medicine Physician - Licence states on file
- AZ, UT, CO, TX, PA, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-14
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah