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NPI Code Detail

MEDICARE: DANIEL R. SLATER MD

MEDICARE: DANIEL R. SLATER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG64147CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770650657
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL R. SLATER MD
Provider Business Mailing Address
First Line : 200 W. ARBOR DRIVE
Second Line : UCSD MEDICAL CENTER
City : SAN DIEGO
State : CA
Zip : 92103-8821
Country : US
Telephone Number : 619-543-7838
Fax Number : 619-543-7850
Provider Business Practice Location Address
First Line : 9333 GENESEE AVE
Second Line : SUITE 200
City : SAN DIEGO
State : CA
Zip : 92121-2113
Country : US
Telephone Number : 858-657-8600
Fax Number : 858-657-8625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 12/02/2008

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