Individual
TAHSIA SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 E ROOSEVELT ST, DEPT OF SURGERY, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5661
AZ
363AS0400X
Surgical Physician Assistant
5661
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
953319
—
AZ
Enumeration date
02/24/2014
Last updated
07/12/2023
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