Individual
DR. JAMES C SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1488
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
16203
OK
207XS0117X
Orthopaedic Surgery of the Spine Physician
16203
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100030950A
—
OK
01
—
200036111
RAILROAD MEDICARE
OK
Enumeration date
03/10/2006
Last updated
11/01/2007
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