Joseph W Slattery III MD PA

NPI #1578873709 in West Melbourne, Florida

Provider Information

NPI Number: 1578873709
Entity Type: Organization
Organization Name: Joseph W Slattery III MD PA
Primary Specialty: Pain Medicine - Pain Medicine
Enumeration Date: Oct 21, 2010
Last Updated: Dec 17, 2010

Practice Location

Address: 630 S WICKHAM RD
Address 2: SUITE 101
City: West Melbourne
State: Florida
ZIP Code: 32904-1428
Phone: (321) 952-9993

Authorized Official

Name: MRS. BRETT MEEHAN
Title: OFFICE MANAGER
Phone: (321) 952-9993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary

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