Stacey Bourg Slagle M.D.

NPI 1114184462 - Pediatrics - 2080N0001X

NPI Details
NPI 1114184462
Gender Female
Enumeration Date 05/22/2008
Last Updated 07/09/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
201 STATE ST
ERIE PA, 16550-0002, US
Phone (814) 877-8200
Fax
Business Location
201 STATE ST
ERIE PA, 16550-0002, US
Phone (814) 877-8200
Fax
Toxanomy
Taxonomy Code 2080N0001X
License State Pennsylvania
License Number MD-439404
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According to our database, Dr. Stacey Bourg Slagle M.D. NPI is 1114184462, taxonomy code is 2080N0001X and license number is MD-439404, license state is located at Pennsylvania. Stacey Bourg Slagle M.D. physically located at 201 State St, Erie PA, 16550-0002. NPI Number Stacey Bourg Slagle M.D. has the Individual type.

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1114184462 NPI number is provided on an as is basis without warranty of any kind. 1114184462 is maintained by the National Plan & Provider Enumeration System. The contents of Stacey Bourg Slagle M.D. are for informational purposes only.