Individual
DR. JAMES J GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,
Contact information
Practice address
1496 PROFESSIONAL DRIVE, SUITE 601, PETALUMA, CA 94954
(707) 778-1131
(707) 778-3818
Mailing address
1496 PROFESSIONAL DRIVE, SUITE 601, PETALUMA, CA 94954
(707) 778-1131
(707) 778-3818
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G22422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023024254
NPI
CA
01
—
DL687Z
PTAN
CA
Enumeration date
07/31/2006
Last updated
11/27/2012
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