Organization
CHARLES SLOCUMB M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SLOCUMB M.D. (OB-GYNECOLOGY)
(209) 526-3832
Entity
Organization
Contact information
Practice address
2209 COFFEE RD STE M, MODESTO, CA 95355
(209) 526-8038
Mailing address
120 W. GRANGER AVENUE, MODESTO, CA 95350
(209) 526-3832
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C30130
CA
Other
Enumeration date
07/10/2006
Last updated
06/26/2008
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