Individual
MICHAEL ALVIN SLENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, MPAS
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-5165
(360) 475-4633
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-5165
(360) 475-4633
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60356641
WA
363AM0700X
Medical Physician Assistant
NCCPA 1066157
SC
Other
Enumeration date
11/27/2006
Last updated
07/08/2014
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