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NPI Code Detail

MEDICARE: DR. GREGORY S SLAGLE MD

MEDICARE:  DR. GREGORY S SLAGLE  MD
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
1207L00000XAnesthesiology PhysicianR4262AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00278297OTHERRR MEDICARE GROUP CK6327

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
255541OTHERARAR BCBS

General Provider Information

NPI Number : 1407842917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY S SLAGLE MD
Provider Business Mailing Address
First Line : 519 FILES RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-7264
Country : US
Telephone Number : 150-162-5724
Fax Number : 501-625-3071
Provider Business Practice Location Address
First Line : 519 FILES RD
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-7264
Country : US
Telephone Number : 501-625-7246
Fax Number : 501-625-3071
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 06/30/2022

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Directions to “ DR. GREGORY S SLAGLE MD” Practice Location

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