Individual provider · Type 1 NPI

Brandon James Slade, DPM

Foot & Ankle Surgery Podiatrist · San Luis Obispo, CA

NPI number 1154576239 Active

Practice location

1551 Bishop St
San Luis Obispo, CA 93401-4635

Fax (805) 543-7828

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE4945 (CA)
Foot Surgery Podiatrist 213ES0131X41000226A (IN)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1154576239

Brandon James Slade, DPM's National Provider Identifier is 1154576239, issued on Nov 17, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 12, 2011.