Basic Information
| Provider Information | |||||||||
| NPI: | 1902249063 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLOVER | ||||||||
| FirstName: | TROY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 960 | ||||||||
| Address2: | |||||||||
| City: | BREMERTON | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983370212 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3604756728 | ||||||||
| FaxNumber: | 3603732096 | ||||||||
| Practice Location | |||||||||
| Address1: | 31 NE ROUTE 300 SUITE 200 | ||||||||
| Address2: | |||||||||
| City: | BELFAIR | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603773779 | ||||||||
| FaxNumber: | 3603732096 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2013 | ||||||||
| LastUpdateDate: | 02/10/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD60602873 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.