Organization
LAND OF ENCHANTMENT SPINE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A SLAUGHTER MD (OWNER)
(505) 792-6886
Entity
Organization
Contact information
Practice address
3620 BOSQUE PLZ NW STE A, ALBUQUERQUE, NM 87120-4297
(505) 792-6886
(877) 296-3211
Mailing address
3620 BOSQUE PLZ NW STE A, ALBUQUERQUE, NM 87120-4297
(505) 792-6886
(877) 296-3211
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
10/28/2009
Last updated
08/09/2010
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