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Search › North Dakota › 1223G0001X

Ethan Slater

NPI 1871294306 · on the registry since 2023 · sole proprietor

Practice

Address
10 Missile Ave
Minot Afb, ND 58705
Phone
(719) 333-5192
Organisation at this address
Dfas-Jfll/In
5th Medgrp-Minot
5th Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
60

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-09-06

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 North Dakota