Organization
LOMA LINDA UNIVERSITY RADIATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY SLATER MD (PRESIDENT)
(909) 558-3012
Entity
Organization
Contact information
Practice address
28062 BAXTER ROAD, MURRIETA, CA 92563
(951) 672-1010
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
05/10/2011
Last updated
05/10/2011
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