Provider Demographics
NPI:1780906875
Name:SLACHMAN, JOAN O'DWYER (MD)
Entity type:Individual
Prefix:DR
First Name:JOAN
Middle Name:O'DWYER
Last Name:SLACHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOAN
Other - Middle Name:THERESA
Other - Last Name:O'DWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7154 SUTTER AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-2856
Mailing Address - Country:US
Mailing Address - Phone:916-944-3400
Mailing Address - Fax:916-944-3440
Practice Address - Street 1:7154 SUTTER AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-2856
Practice Address - Country:US
Practice Address - Phone:916-944-3400
Practice Address - Fax:916-944-3440
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-17
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG49096208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics