Individual
GINA M SLATTERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2620 CONSTUTION BLVD, UPPER LEVEL, BEAVER FALLS, PA 15010
(724) 847-4755
(724) 847-4702
Mailing address
24 HERBST RD, CORAOPOLIS, PA 15108-3620
(412) 331-3980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001573L
PA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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