Individual
DR. GREGORY S SLAGLE
Active
Individual
DR. GREGORY S SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R4262
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121643001
—
AR
01
—
55541
AR BCBS
AR
01
—
P00278297
RR MEDICARE GROUP CK6327
—
Enumeration date
09/21/2005
Last updated
06/30/2022
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