Search › Missouri › 163WM0705X
Morgan Slack
NPI 1427514900 · on the registry since 2019
Practice
- Address
- 4855 Colony Church Rd Apt 9
Saint Louis, MO 63129 - Phone
- (228) 234-4551
Registry record
- Primary taxonomy
- 163WM0705X
163WM0705X
- Also registered as
- 163WM0705X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-02-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri