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Individual

JAMES SLAUTERBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1601 CENTER ST, MOBILE, AL 36604-1541
(251) 665-8200
(251) 665-8210
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
42-0010895
VT
207X00000X
Orthopaedic Surgery Physician
Primary
MD.41721
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
42-0010895
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02623747
NY MEDICAID
NY
05
1011138
VT
Enumeration date
07/26/2006
Last updated
02/04/2025
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