Individual
DR. P. DOUGLAS SLOCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2365 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 643-1194
(985) 643-8869
Mailing address
2365 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 643-1194
(985) 643-8869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016288
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1324639
—
LA
Enumeration date
11/09/2006
Last updated
04/15/2008
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