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Duane E Vanderslice, M.d., F.a.c.o.g., P.c.
Specialist in Farmington, New Mexico
NPI 1366697005

Duane E Vanderslice, M.d., F.a.c.o.g., P.c. is a Specialist based in Farmington, NM. Duane E Vanderslice, M.d., F.a.c.o.g., P.c. practices in Farmington, NM. The NPI Number for Duane E Vanderslice, M.d., F.a.c.o.g., P.c. is 1366697005 and holds a License No. 83-134 (New Mexico).

The current practice location address for Duane E Vanderslice, M.d., F.a.c.o.g., P.c. is 816 W Maple St, Farmington, NM and can be reached out via phone at 505-327-3634 and via fax at 505-327-2104.

Location: 816 W Maple St, Farmington, NM, 87401-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366697005
Provider Name
Duane E Vanderslice, M.d., F.a.c.o.g., P.c.
Credential
Provider Entity Type
Organization
Address
816 W Maple St, Farmington, NM, 87401-5631
Phone Number
505-327-3634
Fax Number
505-327-2104
Provider Enumeration Date
11/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2836 01 NM BLUE CROSS BLUE SHIELD
201010266 01 NM PRESBYTERIAN HEALTH/SALUD
22095 05 NM
institution
Provider Business Practice Location Address Details
Address
816 W Maple St
City
Farmington
State
New Mexico
Zip
87401-5631
Phone Number
505-327-3634
Fax Number
505-327-2104
person
Provider Business Mailing Address Details
Address
816 W Maple St
City
Farmington
State
New Mexico
Zip
87401-5631
Phone Number
505-327-3634
Fax Number
505-327-2104
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
83-134 (New Mexico)
Definition
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.
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