Individual
GARY D SLAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1535 S RANGE AVE., COLBY, KS 67701-0806
(785) 460-8000
(785) 460-8001
Mailing address
PO BOX 806, 1535 SOUTH RANGE AVENUE, COLBY, KS 67701-0806
(785) 460-8000
(785) 460-8001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0430102
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000104556
BCBS
KS
05
—
200003980B
—
KS
01
—
200893545
WPS TRICARE
—
Enumeration date
03/07/2006
Last updated
11/14/2007
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