Individual
MR. SLADE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16110 W WASHINGTON ST, GOODYEAR, AZ 85338-6839
(505) 330-0559
Mailing address
16110 W WASHINGTON ST, GOODYEAR, AZ 85338-6839
(505) 330-0559
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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