Individual
PAUL G VAN DER SLOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E HAMPDEN AVE STE 225, ENGLEWOOD, CO 80113-2737
(303) 788-9200
(303) 781-4368
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 584-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
21280
WV
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
252522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03117264
—
NY
05
—
1809555000
—
WV
Enumeration date
09/13/2006
Last updated
02/10/2022
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