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Duane E Vanderslice, MD
Specialist in Farmington, New Mexico
NPI 1407953177

Duane E Vanderslice is a Specialist based in Farmington, NM. Duane E Vanderslice practices in Farmington, NM and has the professional credentials of MD. The NPI Number for Duane E Vanderslice is 1407953177 and holds a License No. 83-134 (New Mexico).

The current practice location address for Duane E Vanderslice 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
person
Provider Profile Details
NPI Number
1407953177
Provider Name
Duane E Vanderslice
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
816 W Maple St, Farmington, NM, 87401-5631
Phone Number
505-327-3634
Fax Number
505-327-2104
Provider Enumeration Date
09/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22095 05 NM
2836 01 NM BLUE CROSS BLUE SHIELD
850364974 01 NM TAX ID
201010266 01 NM PRESBYTERIAN HEALTH/SALUD
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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