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Individual

DOREEN ANN SLABAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
300 N LEE BLVD, PRESCOTT, AZ 86301-5710
(928) 708-4300
(928) 458-2122
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4226
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
957962
AZ
Enumeration date
09/30/2005
Last updated
03/17/2025
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