Individual
HANNAH MADISON SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 S 5TH ST, SAINT CHARLES, MO 63301-2913
(636) 294-5900
Mailing address
6 OLDE COVENTRY CT, SAINT CHARLES, MO 63301-1556
(636) 395-1609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2020040264
MO
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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