Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101261742 | VA |
NPI | 1053706580 |
---|---|
Provider Name | Sean E Slaven |
First Address | Arlington, VA 22206-2988 |
Second Address | Arlington, VA 22206-2988 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2015 |
Last Update Date | 04/08/2021 |