Organization
MADELINE L SLATER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE L SLATER MD (PHYSICIAN OWNER)
(760) 806-9263
Entity
Organization
Contact information
Practice address
122 CIVIC CENTER DR, SUITE 101, VISTA, CA 92084-6040
(760) 806-9263
(760) 806-9264
Mailing address
122 CIVIC CENTER DR, SUITE 101, VISTA, CA 92084-6040
(760) 806-9263
(760) 806-9264
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
CA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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