Individual
AUGUSTUS GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MERCY CIRCLE, DEPARTMENT OF SURGERY, CAMP PENDLETON, CA 92055
(760) 725-1356
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 725-1356
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
191356
CA
208600000X
Surgery Physician
Primary
208600000X
MA
Other
Enumeration date
04/28/2017
Last updated
02/08/2024
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