Slate Medical Aesthetics Pllc

NPI #1386419273 in Pocatello, Idaho

Provider Information

NPI Number: 1386419273
Entity Type: Organization
Organization Name: Slate Medical Aesthetics Pllc
Primary Specialty: Dermatology
Enumeration Date: Nov 20, 2023
Last Updated: Nov 20, 2023

Practice Location

Address: 920 DEON DR STE A
City: Pocatello
State: Idaho
ZIP Code: 83201-3069
Phone: (208) 904-0217

Authorized Official

Name: JEREMY R MONROE, DO
Title: OWNER
Phone: (208) 904-0217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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