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Individual

MATTHEW R SLOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 356-8231
(740) 353-7900
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 356-7900

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
60654
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2913593
OH
05
7100070470
KY
Enumeration date
11/29/2007
Last updated
12/17/2020
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