| John Slightam Md Inc. | |
|
19987 1st Ave S Suite 101 Normandy Park WA 98148-2400 | |
| (206) 824-5554 | |
| (206) 824-5550 |
| Full Name | John Slightam Md Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 19987 1st Ave S, Normandy Park, Washington |
| Authorized Official Name and Position | John David Slightam (PRESIDENT) |
| Authorized Official Contact | 2068245554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Slightam Md Inc. 19987 1st Ave S Suite 101 Normandy Park WA 98148-2400 Ph: (206) 824-5554 | John Slightam Md Inc. 19987 1st Ave S Suite 101 Normandy Park WA 98148-2400 Ph: (206) 824-5554 |
| NPI Number | 1720483605 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720483605 | NPI | - | NPPES |
| 1070028 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Washington) | Primary |
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