Individual
DR. JAMIESON SCOTT GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 SANTA FE DR, ENCINITAS, CA 92024-5156
(760) 753-5594
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 753-5594
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A89805
CA
207X00000X
Orthopaedic Surgery Physician
M8678
TX
Other
Enumeration date
07/06/2007
Last updated
09/30/2021
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