Provider Demographics
NPI:1053374686
Name:SLOWIK, PAUL T
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:T
Last Name:SLOWIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 WARING CT
Mailing Address - Street 2:STE M
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4509
Mailing Address - Country:US
Mailing Address - Phone:760-630-9200
Mailing Address - Fax:760-630-6239
Practice Address - Street 1:3230 WARING CT
Practice Address - Street 2:STE M
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4509
Practice Address - Country:US
Practice Address - Phone:760-630-9200
Practice Address - Fax:760-630-6239
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3094213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT11564Medicare UPIN
CAWE3094AMedicare PIN