DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN BENJAMIN SLADE JR., MD

Active Sole Proprietor

JOHN BENJAMIN SLADE JR., MD is a 2083P0011X healthcare provider located in TRAVIS AFB, California. NPI 1457442394 is currently active in the NPPES registry. Verify at CMS.

2083P0011X · TRAVIS AFB, CA

Registration Details

NPI Number
1457442394
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2006 (19.89591447081 yrs)
Last Updated
Jun 18, 2019
Licenses
A35154 (CA)
A35154 (CA)
Sole Proprietor
Yes

Practice Information

Address
101 BODIN CIR
TRAVIS AFB, CA, 94535
Browse CA providers · Browse ZIP 94535
Phone
7074233987
Fax
7074235356
Primary Specialty
2083P0011X
2083P0011X
Additional Specialty
Family Medicine

Other 2083P0011X Providers in TRAVIS AFB, CA

Name Credential NPI
DR. PATRICK JAMES KEARNEY M.D., M.P.H. 1972598480
DR. ANTONIO JOSE DELGADO M.D. 1578594040
DR. PETER LENNOX M.D. 1740501717
DR. MAIA ORABI M.D. 1841638491
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.