Individual
DR. IAN ROBERT SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3059
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60229805
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296553
L&I
WA
05
—
1104088392
—
WA
Enumeration date
06/28/2008
Last updated
11/05/2012
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