| Daniel Hogan Slack, MD | |
|
101 Bodin Circle, Internal Medicine Clinic, Fairfield, CA 94533 | |
| (707) 423-3000 | |
| Not Available |
| Full Name | Daniel Hogan Slack |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 101 Bodin Circle, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952864027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 176336 (California) | Primary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Hogan Slack, MD 101 Bodin Circle, Internal Medicine Clinic, Fairfield, CA 94533 Ph: (707) 423-3000 | Daniel Hogan Slack, MD 101 Bodin Circle, Internal Medicine Clinic, Fairfield, CA 94533 Ph: (707) 423-3000 |
Dr. Myo Swe Chang, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 103 Bodin Cir, Bld 778, Fairfield, CA 94535 Phone: 707-437-1817 Fax: 707-437-1809 | |
Elizabeth W. Fernandes, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-5053 | |
Dr. Jeannette Peterson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1261 Travis Blvd, Suite 100, Fairfield, CA 94533 Phone: 707-422-0543 Fax: 707-422-0549 | |
Warren Joseph A San Diego, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 B Gale Wilson Blvd, Fairfield, CA 94533 Phone: 707-646-5080 | |
Maria Conley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-3000 | |
Son Lam Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Webster St, A, Fairfield, CA 94533 Phone: 707-423-9484 | |
Sumera Ahmed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Courage Dr, Fairfield, CA 94533 Phone: 707-553-5938 |