Provider Demographics
NPI:1629009857
Name:SLEPYAN, DAVID H (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:SLEPYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 S MAIN ST STE D101
Mailing Address - Street 2:
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-3547
Mailing Address - Country:US
Mailing Address - Phone:360-678-2128
Mailing Address - Fax:360-678-1878
Practice Address - Street 1:107 S MAIN ST STE D101
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239-3547
Practice Address - Country:US
Practice Address - Phone:360-678-2128
Practice Address - Fax:360-678-1878
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000112222082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB39611Medicare PIN