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Individual

DR. MELINDA RAE SLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-3219
Mailing address
5822 E SPRING DR, SPRINGFIELD, MO 65809-3374
(417) 820-3219

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MDR9C17
MO

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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