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Individual

TODD D SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1487 N HIGH ST, SUITE 102, HILLSBORO, OH 45133-8496
(937) 393-3406
(937) 393-0511
Mailing address
PO BOX 637736, CINCINNATI, OH 45263-7736
(513) 891-1006
(513) 793-1032

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35-050621
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000198158
ANTHEM
OH
05
0590365
OH
01
0653561
AETNA
OH
01
0720464
UHC
OH
01
160054320
RAILROAD MEDICARE
OH
01
2355062
RHC MEDICAID CLINIC NUM.
OH
01
311674981
OTHER FACILITY TAX ID NUM
OH
01
363843
RHC MEDICARE CLINIC NUM.
OH
Enumeration date
08/17/2005
Last updated
10/02/2012
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