Organization
LOMA LINDA UNIVERSITY RADIATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SLATER M.D. (PRESIDENT)
(909) 558-3014
Entity
Organization
Contact information
Practice address
81 HIGHLAND SPRINGS AVE, BEAUMONT, CA 92223-2511
(909) 558-3012
Mailing address
PO BOX 30969, LOS ANGELES, CA 90030-0969
(909) 558-3012
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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