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Contact Information

JOHN B SLADE JR, MD
101 BODIN CIR
TRAVIS AFB, CA94535
 Phone: 707-423-3987
 Fax: 707-423-5356
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN B SLADE JR · (Male)

NPI # 1457442394
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 06/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A35154
  • CA Medicaid 00A351541
Hospital affiliation(s)
  • NORTHBAY MEDICAL CENTER - (Acute Care)
    1200 B GALE WILSON BLVD
    FAIRFIELD, CA 94533
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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