Daniel Hogan Slack, MD | |
101 Bodin Circle, Internal Medicine Clinic, Fairfield, CA 94533 | |
(707) 423-3000 | |
Not Available |
Full Name | Daniel Hogan Slack |
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Gender | Male |
Speciality | Internal Medicine |
Location | 101 Bodin Circle, Fairfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952864027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 176336 (California) | Primary |
Entity Name | Sutter Valley Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
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Daniel Hogan Slack, MD 101 Bodin Circle, Internal Medicine Clinic, Fairfield, CA 94533 Ph: (707) 423-3000 | Daniel Hogan Slack, MD 101 Bodin Circle, Internal Medicine Clinic, Fairfield, CA 94533 Ph: (707) 423-3000 |
Dr. Anne An-ru Chen, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1127 Texas St, Suite A, Fairfield, CA 94533 Phone: 707-426-6060 | |
Dr. Myo Swe Chang, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 103 Bodin Cir, Bld 778, Fairfield, CA 94535 Phone: 707-437-1817 Fax: 707-437-1809 | |
Genieve Marie Martinez-hernandez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 Phone: 707-423-7342 | |
Elizabeth W. Fernandes, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-5053 | |
Dr. Jeannette Peterson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1261 Travis Blvd, Suite 100, Fairfield, CA 94533 Phone: 707-422-0543 Fax: 707-422-0549 | |
Warren Joseph A San Diego, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5080 | |
Maria Conley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3000 |