Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E3094 | CA |
Y | 222Z00000X | Podiatrist | E3094 | CA |
NPI | 1053374686 |
---|---|
Provider Name | Dr. Paul T Slowik |
First Address | Oceanside, CA 92056-4509 |
Second Address | Oceanside, CA 92056-4509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 20/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T11564 | (02) | CA |