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NPI Code Detail

MEDICARE: DR. JOHN STEPHEN SLOAN M.D.

MEDICARE: DR. JOHN STEPHEN SLOAN M.D.
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
1207Q00000XFamily Medicine Physician3956AWY

General Provider Information

NPI Number : 1053342915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN STEPHEN SLOAN M.D.
Provider Business Mailing Address
First Line : 1400 UINTA DR
Second Line :
City : GREEN RIVER
State : WY
Zip : 82935-5046
Country : US
Telephone Number : 307-872-4500
Fax Number :
Provider Business Practice Location Address
First Line : 1400 UINTA DR
Second Line :
City : GREEN RIVER
State : WY
Zip : 82935-5046
Country : US
Telephone Number : 307-872-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 09/01/2010

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Directions to “ DR. JOHN STEPHEN SLOAN M.D.” Practice Location

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