STEPHEN SLACK
Contractor
Active
Individual
NPI: 1386141539
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1386141539 is the National Provider Identifier for STEPHEN SLACK, a Contractor provider located in Shreveport, LA. This NPI was enumerated on April 12, 2018.
STEPHEN SLACK practices at 458 W 61ST ST, Shreveport, LA 71106.
Quick Facts
- NPI
- 1386141539
- Type
- Individual
- Enumerated
- Apr 12, 2018
- Last Updated
- Apr 12, 2018
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