Individual
RUSSELL P. SLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S POLLARD ST, VINTON, VA 24179-2502
(540) 983-6700
Mailing address
415 S POLLARD ST, VINTON, VA 24179-2502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101251890
VA
Other
Enumeration date
04/28/2009
Last updated
07/21/2021
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