person
Dr. Brandon James Slade, DPM
Foot Surgery Podiatrist in San Luis Obispo, California
NPI 1154576239

Brandon James Slade is a Foot Surgery Podiatrist based in San Luis Obispo, CA and is specialized in Foot Surgery. Brandon James Slade practices in San Luis Obispo, CA and has the professional credentials of DPM. The NPI Number for Brandon James Slade is 1154576239 and holds a License No. E4945 (California).

The current practice location address for Brandon James Slade is 1551 Bishop St, San Luis Obispo, CA and can be reached out via phone at 805-543-7788 and via fax at 805-543-7828.

Location: 1551 Bishop St, San Luis Obispo, CA, 93401-4635
person
Provider Profile Details
NPI Number
1154576239
Provider Name
Brandon James Slade
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1551 Bishop St, San Luis Obispo, CA, 93401-4635
Phone Number
805-543-7788
Fax Number
805-543-7828
Provider Enumeration Date
11/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FH048Z 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
1551 Bishop St
City
State
Zip
93401-4635
Phone Number
805-543-7788
Fax Number
805-543-7828
person
Provider Business Mailing Address Details
Address
1551 Bishop St
City
State
Zip
93401-4635
Phone Number
805-543-7788
Fax Number
805-543-7828
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
41000226A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E4945 (California)
Definition
Definition to come...
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