Individual
SCOTT V SLAGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 COLE AVE, BISBEE, AZ 85603-1327
(520) 432-6481
(520) 432-5082
Mailing address
101 COLE AVE, BISBEE, AZ 85603-1399
(520) 432-6481
(520) 432-5082
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
15463
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
15463
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059932
—
AZ
Enumeration date
08/03/2005
Last updated
11/17/2021
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