Individual
DR. DOUGLAS DAVID SLATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5046 LADERA VISTA DR, CAMARILLO, CA 93012-5334
(760) 390-8030
(805) 383-2897
Mailing address
5046 LADERA VISTA DRIVE, CAMARILLO, CA 93012
(760) 390-8030
(805) 383-2897
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
G59150
CA
Other
Enumeration date
12/14/2005
Last updated
07/12/2013
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