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Individual

DANIEL R. SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9333 GENESEE AVE, SUITE 200, SAN DIEGO, CA 92121-2113
(858) 657-8600
(858) 657-8625
Mailing address
200 W. ARBOR DRIVE, UCSD MEDICAL CENTER, SAN DIEGO, CA 92103-8821
(619) 543-7838
(619) 543-7850

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G64147
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G641470
CA
Enumeration date
11/29/2006
Last updated
12/02/2008
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