Gary W Slater, PA

NPI #1265650998 in Urbana, Illinois

Provider Information

NPI Number: 1265650998
Entity Type: Individual
Name: Gary W Slater, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 20, 2007
Last Updated: May 12, 2014

Practice Location

Address: 611 W. PARK ST.
Address 2: CARDIOVASCULAR AND THORACIC SURGERY
City: Urbana
State: Illinois
ZIP Code: 61801
Phone: (217) 904-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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