Duane E Vanderslice, M.D., F.a.C.O.G., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

83-134 Issued in NM

Legal business name

DUANE E VANDERSLICE, M.D., F.A.C.O.G., P.C.

Doing business as

WOMEN'S CLINIC

Practice address

816 W Maple St
Farmington, NM 87401-5631

Phone

(505) 327-3634

Fax

(505) 327-2104

NPI assigned

Nov 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Duane E Vanderslice, M.D.

Title

President

Phone

(505) 327-3634

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• WOMEN'S CLINIC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1366697005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015631",
            "telephone_number": "505-327-3634",
            "fax_number": "505-327-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015631",
            "telephone_number": "505-327-3634",
            "fax_number": "505-327-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE E VANDERSLICE, M.D., F.A.C.O.G., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "VANDERSLICE",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-327-3634",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "83-134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2836",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH/SALUD",
            "identifier": "201010266",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22095",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOMEN'S CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr David J Herman'S Four Corners Dental, LLC
• Dr. Jack O. Smalley DSS
• Dr. Jack Smalley D.D.S.
• Dr. Joseph a. Wilson DMD, MSD, LLC
• Dr. Marina Hampton DDS
• Hari Bal Dev Barry Dunaway, O.T.
• Lou Anne Dunaway, O.T.
• Michele Leigh Duncan-Kreilick
• Dungarvin New Mexico LLC
• Claud Evans Dunlap III

• Specialist in Farmington, NM
• Providers in Farmington, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.