Individual
ILYA SLUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
Mailing address
812 WOOD BRIAR LOOP, SANFORD, FL 32771-5433
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME131826
FL
207WX0120X
Cornea and External Diseases Specialist Physician
ME131826
FL
Other
Enumeration date
05/21/2013
Last updated
07/25/2022
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