# CHARLES SLOCUMB M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770517229
- **Authorized official:** CHARLES SLOCUMB M.D. (OB-GYNECOLOGY)
- **Authorized official phone:** (209) 526-3832

## Contact information

- **Practice address:** 2209 COFFEE RD STE M, MODESTO, CA 95355
- **Practice address phone:** (209) 526-8038
- **Mailing address:** 120 W. GRANGER AVENUE, MODESTO, CA 95350
- **Mailing address phone:** (209) 526-3832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | C30130 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 06/26/2008