Individual
DR. MARY ELLEN SLAUGHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3917 WEST RD, SUITE 128, LOS ALAMOS, NM 87544-2275
(505) 662-4234
(505) 662-7894
Mailing address
3917 WEST RD, SUITE 128, LOS ALAMOS, NM 87544-2275
(505) 662-4234
(505) 662-7894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
93243
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51342
—
NM
Enumeration date
09/01/2005
Last updated
06/14/2010
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