Individual
DANIEL HOGAN SLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 BODIN CIRCLE, INTERNAL MEDICINE CLINIC, FAIRFIELD, CA 94533
(707) 423-3000
Mailing address
101 BODIN CIRCLE, INTERNAL MEDICINE CLINIC, FAIRFIELD, CA 94533
(707) 423-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
176336
CA
Other
Enumeration date
04/07/2019
Last updated
09/26/2024
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