Organization · Type 2 NPI
Duane E Vanderslice, M.d., F.a.c.o.g., P.c.
Specialist · Farmington, NM
NPI number
1366697005
Active
Practice location
816 W Maple St
Farmington, NM 87401-5631
Fax (505) 327-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 83-134 (NM) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1366697005
Duane E Vanderslice, M.d., F.a.c.o.g., P.c.'s National Provider Identifier is 1366697005, issued on Nov 21, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Farmington, NM. The record was last updated on Nov 21, 2008.