Organization
DAVID P SLACK, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID P SLACK MD (PRESIDENT)
(858) 495-0971
Entity
Organization
Contact information
Practice address
9555 CHESAPEAKE DR # 204, SAN DIEGO, CA 92123-6301
(858) 495-0971
(858) 495-0991
Mailing address
9555 CHESAPEAKE DR # 204, SAN DIEGO, CA 92123-6301
(858) 495-0971
(858) 495-0991
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G36344
CA
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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