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Dr. Christopher Lee Slack, MD
Facial Plastic Surgery Physician in Fort Pierce, Florida
NPI 1982613717

Christopher Lee Slack is a Facial Plastic Surgery Physician based in Fort Pierce, FL and is specialized in Facial Plastic Surgery. Christopher Lee Slack practices in Fort Pierce, FL and has the professional credentials of MD. The NPI Number for Christopher Lee Slack is 1982613717 and holds a License No. ME84369 (Florida).

The current practice location address for Christopher Lee Slack is 4632 S 25Th St, Fort Pierce, FL and can be reached out via phone at 772-464-9595 and via fax at 772-464-9582.

Location: 4632 S 25Th St, Fort Pierce, FL, 34981-5057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982613717
Provider Name
Christopher Lee Slack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4632 S 25Th St, Fort Pierce, FL, 34981-5057
Phone Number
772-464-9595
Fax Number
772-464-9582
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
264157700 05 FL
institution
Provider Business Practice Location Address Details
Address
4632 S 25Th St
City
Fort Pierce
State
Florida
Zip
34981-5057
Phone Number
772-464-9595
Fax Number
772-464-9582
person
Provider Business Mailing Address Details
Address
4632 S 25Th St
City
Fort Pierce
State
Florida
Zip
34981-5057
Phone Number
772-464-9595
Fax Number
772-464-9582
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
ME84369 (Florida)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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