Individual
GARY W SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
611 W. PARK ST., CARDIOVASCULAR AND THORACIC SURGERY, URBANA, IL 61801
(217) 904-7000
(217) 904-7742
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85000374
IL
Other
Enumeration date
04/20/2007
Last updated
05/12/2014
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