Individual
MR. BRUCE TODD SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2136
NH
363A00000X
Physician Assistant
PA2021-0085
NM
363AM0700X
Medical Physician Assistant
MA0016431
PA
363AS0400X
Surgical Physician Assistant
PA2021-0085
NM
Other
Enumeration date
09/22/2006
Last updated
01/04/2024
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