National Provider Identifier Database

DUANE E VANDERSLICE MD FACOG PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DUANE E VANDERSLICE, M.D., F.A.C.O.G., P.C.
816 W MAPLE ST
FARMINGTON, NM87401-5631
Phone: 505-327-3634
Fax: 505-327-2104
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DUANE E VANDERSLICE, M.D., F.A.C.O.G., P.C.

NPI Number 1366697005
Legal business name
LBN
DUANE E VANDERSLICE, M.D., F.A.C.O.G., P.C.
Authorized official DUANE VANDERSLICE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/21/2008
Last updated 11/21/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 83-134
  • NM Medicaid: 22095
  • NM Other: 2836 BLUE CROSS BLUE SHIELD
  • NM Other: 201010266 PRESBYTERIAN HEALTH/SALUD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DUANE E VANDERSLICE, M.D., F.A.C.O.G., P.C.

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