James W Slack MD

NPI 1073689253 - Ophthalmology - 207W00000X

NPI Details
NPI 1073689253
Gender Male
Enumeration Date 11/28/2006
Last Updated 11/10/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
12255 FAIR LAKES PARKWAY
FAIRFAX VA, 22033-3952, US
Phone (703) 934-5820
Fax (703) 934-5290
Business Location
2101 EAST JEFFERSON STREET
PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2424
Fax (301) 816-6308
Toxanomy
Taxonomy Code 207W00000X
License State DO Columbia
License Number MD15560
Remove 1073689253 NPI Number
 

According to our database, Dr. James W Slack MD NPI is 1073689253, taxonomy code is 207W00000X and license number is MD15560, license state is located at DO Columbia. James W Slack MD physically located at 12255 Fair Lakes Parkway, Fairfax VA, 22033-3952. NPI Number James W Slack MD has the Individual type.

Sponsored links

1073689253 NPI number is provided on an as is basis without warranty of any kind. 1073689253 is maintained by the National Plan & Provider Enumeration System. The contents of James W Slack MD are for informational purposes only.