Individual
DR. JOHN G SISLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1573
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00021765
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60723
L&I
WA
05
—
8130346
—
WA
05
—
98608
—
OR
Enumeration date
02/16/2006
Last updated
11/27/2007
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