Individual
STEVEN J. SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4643 WAIMEA CANYON DR., WAIMEA, HI 96796-0337
(808) 652-5282
(808) 338-9210
Mailing address
PO BOX 337, 4643 WAIMEA CANYON DR., WAIMEA, HI 96796-0337
(808) 652-5282
(808) 338-9210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G0127
TX
208M00000X
Hospitalist Physician
G0127
TX
208M00000X
Hospitalist Physician
Primary
MD 15810
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L40P
BC/BS
TX
05
—
099301602
—
TX
05
—
099301604
—
TX
01
—
8W2430
BC/BS
TX
Enumeration date
08/12/2005
Last updated
06/27/2011
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