Individual
DR. PETER B. SLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3315 BROADWAY, OAKLAND, CA 94611-5717
(510) 849-2300
(510) 849-2333
Mailing address
200 PORTER DR, SUITE 215, SAN RAMON, CA 94583-1587
(925) 362-2166
(855) 574-3055
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G23442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G234420
BLUE SHIELD
CA
05
—
00G234420
—
CA
01
—
200018732
RAIL ROAD MEDICARE
CA
Enumeration date
02/28/2006
Last updated
05/11/2017
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