Dr. Brandon James Slade, DPM
Podiatrist, Foot & Ankle Surgery in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1154576239
StatusActive
Last updated in NPPESSep 12, 2011
Details
- NPI
- 1154576239
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brandon James Slade
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2008
- Last updated
- Sep 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | E4945 | CA | Yes |
| 213ES0131X | 41000226A | IN |
Practice location
1551 Bishop StSan Luis Obispo, CA 93401-4635
Phone 805-543-7788 · Fax 805-543-7828
Mailing address
1551 Bishop StSan Luis Obispo, CA 93401-4635
Phone 805-543-7788 · Fax 805-543-7828
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Other Foot & Ankle Surgery Podiatrist providers in San Luis Obispo, CA
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All 7 Foot & Ankle Surgery Podiatrist providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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