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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

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

NPI Number 1366697005
LBN Legal business name DUANE E VANDERSLICE, M.D., F.A.C.O.G., P.C.
Authorized official DUANE VANDERSLICE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/21/2008
Last updated 11/21/2008 - About 18 years ago
Identifiers
NM License # 83-134
NM Medicaid 22095
NM Other 2836 BLUE CROSS BLUE SHIELD
NM Other 201010266 PRESBYTERIAN HEALTH/SALUD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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