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Search › Arizona › 207P00000X

Sam Slade

NPI 1972041093 · on the registry since 2017 · sole proprietor

Practice

Address
3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone
(928) 757-0649
Organisation at this address
Kingman Hospital Inc
Kingman Healthcare, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207P00000X
Licence states on file
AZ, CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-29

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 Arizona