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NPI Code Detail

MEDICARE: DR. JAMES C SLATER MD

MEDICARE:  DR. JAMES C SLATER  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
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician16203OK
2207XS0117XOrthopaedic Surgery of the Spine Physician16203OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2200036111OTHEROKRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1558339986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES C SLATER MD
Provider Business Mailing Address
First Line : 4802 S 109TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74146-5822
Country : US
Telephone Number : 918-392-1400
Fax Number : 918-392-1488
Provider Business Practice Location Address
First Line : 4802 S 109TH EAST AVE
Second Line :
City : TULSA
State : OK
Zip : 74146-5822
Country : US
Telephone Number : 918-392-1400
Fax Number : 918-392-1488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 11/01/2007

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Directions to “ DR. JAMES C SLATER MD” Practice Location

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