Individual
DR. GLENN EDWIN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 S LENA RD, SAN BERNARDINO, CA 92415-0037
(909) 387-2542
(909) 387-2989
Mailing address
175 S LENA RD, SAN BERNARDINO, CA 92415-0037
(909) 387-2542
(909) 387-2989
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G70925
CA
Other
Enumeration date
05/24/2014
Last updated
05/24/2014
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