Individual
DAVID LOWELL SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 PARK CREEK DR, CLOVIS, CA 93611-4426
(559) 326-2815
(559) 326-2801
Mailing address
PO BOX 2130, CLOVIS, CA 93613-2130
(559) 326-2815
(559) 326-2801
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G63203
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G632030
—
CA
01
—
220015519
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
12/29/2010
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