Individual
CASEY SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16300 SAND CANYON AVE STE 511, IRVINE, CA 92618-3705
(949) 679-8546
Mailing address
UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A194467
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/25/2019
Last updated
06/17/2025
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