Individual
MR. WILLIAM IRA SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-5000
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1667
ND
225100000X
Physical Therapist
2305207596
VA
Other
Enumeration date
01/16/2013
Last updated
03/07/2019
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