Provider Demographics
NPI:1700878246
Name:SLAGLE, DAVID F II (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:F
Last Name:SLAGLE
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:2050 GAUSE BLVD E STE 150
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70461-5414
Mailing Address - Country:US
Mailing Address - Phone:985-649-2006
Mailing Address - Fax:985-649-4060
Practice Address - Street 1:2050 GAUSE BLVD E STE 150
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70461-5414
Practice Address - Country:US
Practice Address - Phone:985-649-0206
Practice Address - Fax:985-649-4060
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
LA014796207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA10496OtherSTATE CDS
LA1307246Medicaid
LA1700878246OtherNPI
LA1700878246OtherNPI
LA10496OtherSTATE CDS