Organization
RUSSELL R SLAUGH OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SLAUGH O.D. (PRESIDENT)
(801) 885-9913
Entity
Organization
Contact information
Practice address
10149 N 92ND ST, STE 102, SCOTTSDALE, AZ 85258-4557
(480) 860-1330
Mailing address
10149 N 92ND ST, STE 102, SCOTTSDALE, AZ 85258-4557
(480) 860-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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