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Individual

DR. JOHN D SLIGHTAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
19987 1ST AVE S, SUITE 101, NORMANDY PARK, WA 98148-2400
(206) 824-5554
(206) 824-5550
Mailing address
19987 1ST AVE S, SUITE 101, NORMANDY PARK, WA 98148-2400
(206) 824-5554
(206) 824-5550

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
WA00028291
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1070028
WA
Enumeration date
02/27/2007
Last updated
02/24/2012
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