Individual provider · Type 1 NPI

Malcolm Walton Slaton, PA-C

Medical Physician Assistant · Longmont, CO

NPI number 1730174897 Active

Practice location

1014 Primrose Ave
Longmont, CO 80301

Call (303) 704-6504 Map

Fax (720) 652-4774

Mailing address

5704 Capistrano Way
Frederick, CO 80504-9712

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X919 (CO)
Medical Physician Assistant Primary 363AM0700X919 (CO)
Medical Physician Assistant 363AM0700X521 (SC)
Medical Physician Assistant 363AM0700X103150 (NC)
Medical Physician Assistant 363AM0700X212 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1730174897

Malcolm Walton Slaton, PA-C's National Provider Identifier is 1730174897, issued on Sep 15, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Longmont, CO. The record was last updated on Sep 6, 2013.