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Individual

SCOTT SLOCUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
361 ALEXANDER SPRING RD., CARLISLE, PA 17015
(717) 249-1212
Mailing address
409 SOUTH SECOND STREET, SUITE 2F, HARRISBURG, PA 17104-1612

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN358790L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101408320
PA
Enumeration date
06/13/2006
Last updated
12/12/2020
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