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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JANTZEN T SLATER, MD

Active

JANTZEN T SLATER, MD is a Family Medicine healthcare provider located in FARMINGTON, Arkansas. NPI 1063891570 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FARMINGTON, AR

Registration Details

NPI Number
1063891570
Provider Type
Individual
Gender
Male
NPI Issued
May 29, 2015 (11.181991307438 yrs)
Last Updated
Jul 19, 2018
Licenses
9865992-1205 (UT)
E-11402 (AR)

Practice Information

Address
199 E. MAIN ST.
FARMINGTON, AR, 727303077
Browse AR providers · Browse ZIP 72730
Phone
4792671001
Fax
4792671026
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in FARMINGTON, AR

Name Credential NPI
JAMAL ZIAD ABDIN M.D. 1043201940
AMBER RAY APRN 1235812033
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.