Individual
SLADE RANKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 S CEDAR CREST BLVD, STE 210, ALLENTOWN, PA 18103-6224
(610) 402-6986
(610) 402-1682
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057169
PA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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