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NPI Code Detail

MEDICARE: CONYEY SLAUGHTER

MEDICARE: CONYEY SLAUGHTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1437781028
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONYEY SLAUGHTER
Provider Business Mailing Address
First Line : 8912 VOLUNTEER LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3221
Country : US
Telephone Number : 916-344-0199
Fax Number : 866-500-2186
Provider Business Practice Location Address
First Line : 8912 VOLUNTEER LN
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-3221
Country : US
Telephone Number : 916-344-0199
Fax Number : 866-500-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2020
Last Update Date : 04/14/2026

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Directions to “ CONYEY SLAUGHTER ” Practice Location

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