Organization
JOHN B. SLAYBACK, M.D., INC.
Active
Parent organization
JOHN B. SLAYBACK, M.D., INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN B. SLAYBACK, M.D., INC.
Authorized official
MR. JOHN B. SLAYBACK M.D. (PRESIDENT)
(909) 793-3760
Entity
Organization
Contact information
Practice address
355 TERRACINA BLVD, REDLANDS, CA 92373-4819
(909) 793-3760
(909) 335-8625
Mailing address
355 TERRACINA BLVD, REDLANDS, CA 92373-4819
(909) 793-3760
(909) 335-8625
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A21757
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245302223
INDIVIDUAL NPI
CA
Enumeration date
10/19/2007
Last updated
10/19/2007
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