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Organization
GLEN CITY MEDICAL GROUP, INC
Active
Organization
GLEN CITY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SWARTOUT M.D. (PRESIDENT)
(805) 933-6622
Entity
Organization
Contact information
Practice address
247 MARCH ST, SANTA PAULA, CA 93060-2511
(805) 933-6622
(806) 933-6629
Mailing address
247 MARCH ST, SANTA PAULA, CA 93060-2511
(805) 933-6622
(806) 933-6629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ82993Z
—
CA
Enumeration date
07/22/2006
Last updated
01/16/2012
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