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Individual

BARRY SLATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2400 SAMARITAN DR STE 203, SAN JOSE, CA 95124-3910
(408) 523-3590
Mailing address
2350 W EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6201

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00G267970
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080180471
MEDICARE RAILROAD
CA
01
ZZZ54850Z
BLUESHIELD
CA
Enumeration date
04/16/2007
Last updated
06/25/2013
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