| NPI | 1730174897 |
|---|---|
| Other Name | MATT SLATON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 919) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 919) |
| 363AM0700X Physician Assistant, Medical (Licence: SC 521) | |
| 363AM0700X Physician Assistant, Medical (Licence: NC 103150) | |
| 363AM0700X Physician Assistant, Medical (Licence: IL 212) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2013-09-06 |