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Individual
SAM WILLDEN SLADE
Active
Individual
SAM WILLDEN SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
007800
AZ
207P00000X
Emergency Medicine Physician
Primary
CDR.0001413
CO
Other
Enumeration date
02/09/2017
Last updated
12/29/2021
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