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Individual

GEOFFREY CARL SLAYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0433045
KS
208600000X
Surgery Physician
Primary
2008007224
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1609937457
MO
Enumeration date
12/13/2006
Last updated
12/08/2017
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