Individual
DIRK L SLADE
Active
Individual
DIRK L SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
2869891205
UT
207XS0106X
Orthopaedic Hand Surgery Physician
D0064980
MD
Other
Enumeration date
02/12/2007
Last updated
07/06/2012
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