Individual
DR. RYAN SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 HARRISON BLVD, BOISE, ID 83702-4052
(319) 248-9494
Mailing address
HHC 121ST COMBAT SUPPORT HOSPITAL, BOX 172, SEOUL, KOREA APO 9-6205
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22483
NE
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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