JOHN BENJAMIN SLADE

TRAVIS AFB, CA
NPI1457442394
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: CA  A35154)
Additional Taxonomies207Q00000X Family Medicine
(Licence: CA  A35154)
Enumeration Date2006-09-27
Last Update Date2019-06-18
Business Address
JOHN BENJAMIN SLADE MD
101 BODIN CIR
TRAVIS AFB, CA 94535
Phone number: 707-423-3987
Mailing Address
JOHN BENJAMIN SLADE MD
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3987