TRAVIS D SLADE

OGDEN, UT
NPI1366453193
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: UT  5968724-1205)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
-- TRAVIS D SLADE MD
5475 S 500 E
OGDEN, UT 84405-6905
Phone number: 800-880-3566
Mailing Address
-- TRAVIS D SLADE MD
2740 E 1700 N
LAYTON, UT 84040-7783
Phone number: 801-546-6486
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