Individual
DR. RENEE F GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 WASHINGTON ST, STE 510, SAN DIEGO, CA 92103-2231
(619) 819-6577
Mailing address
PO BOX 34307, SAN DIEGO, CA 92163-4307
(866) 752-2080
(866) 752-2240
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G48232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G482320
—
CA
Enumeration date
05/17/2006
Last updated
11/21/2008
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