Provider Demographics
NPI:1598918666
Name:SLADE, DAVID SNOW (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SNOW
Last Name:SLADE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1054 E RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-4825
Mailing Address - Country:US
Mailing Address - Phone:435-328-4507
Mailing Address - Fax:435-628-3748
Practice Address - Street 1:1054 E RIVERSIDE DR
Practice Address - Street 2:STE 201
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-4829
Practice Address - Country:US
Practice Address - Phone:435-628-4507
Practice Address - Fax:435-628-3748
Is Sole Proprietor?:No
Enumeration Date:2008-11-02
Last Update Date:2017-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT7154752-1205207W00000X
NV14377207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology