| Madeline L Slater Md Inc | |
|
122 Civic Center Dr Suite 101 Vista CA 92084-6040 | |
| (760) 806-9263 | |
| (760) 806-9264 |
| Full Name | Madeline L Slater Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 122 Civic Center Dr, Vista, California |
| Authorized Official Name and Position | Madeline L Slater (PHYSICIAN OWNER) |
| Authorized Official Contact | 7608069263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline L Slater Md Inc 122 Civic Center Dr Suite 101 Vista CA 92084-6040 Ph: (760) 806-9263 | Madeline L Slater Md Inc 122 Civic Center Dr Suite 101 Vista CA 92084-6040 Ph: (760) 806-9263 |
| NPI Number | 1386045615 |
|---|---|
| Provider Enumeration Date | 09/05/2014 |
| Last Update Date | 09/05/2014 |
| Medicare PECOS PAC ID | 1850616194 |
|---|---|
| Medicare Enrollment ID | O20150209002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386045615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (California) | Primary |
| Provider Name | Madeline L Slater |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306045471 PECOS PAC ID: 4486712973 Enrollment ID: I20081028000506 |
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