Organization
CHARLES O. SLOCUMB MD MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES O. SLOCUMB M.D. (PRESIDENT)
(209) 576-3832
Entity
Organization
Contact information
Practice address
1541 FLORIDA AVE, SUITE 304, MODESTO, CA 95350-4429
(209) 576-3832
Mailing address
1541 FLORIDA AVE, SUITE 304, MODESTO, CA 95350-4429
(209) 576-3832
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C30130
CA
Other
Enumeration date
05/09/2007
Last updated
01/26/2009
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