Provider Demographics
NPI:1427136183
Name:SLATER, ROBERT R JR (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:R
Last Name:SLATER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1568 CREEKSIDE DRIVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630
Mailing Address - Country:US
Mailing Address - Phone:916-404-4400
Mailing Address - Fax:916-790-5924
Practice Address - Street 1:1568 CREEKSIDE DRIVE
Practice Address - Street 2:SUITE 206
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630
Practice Address - Country:US
Practice Address - Phone:916-404-4400
Practice Address - Fax:916-790-5924
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2023-06-15
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Provider Licenses
StateLicense IDTaxonomies
CAG80954207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery