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SLADE PODIATRY NPI 1962977272


NPI Information

NPI: 1962977272
Provider Name: SLADE PODIATRY
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
821 E CHAPEL ST STE 101
SANTA MARIA, CA
ZIP 93454
Phone: (805) 925-8703
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SLADE PODIATRY is a podiatrist in Santa Maria, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SLADE PODIATRY NPI is 1962977272. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

821 E CHAPEL ST STE 101
SANTA MARIA, CA
ZIP 93454-618
Phone: (805) 925-8703

The provider's authorized official is Brandon James Slade .
The authorized official title is Owner and has the following contact phone number (805) 235-3887.

The enumeration date for this NPI number is 10/12/2018 and was last updated on 12/5/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryNo
2213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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