Individual
JOHN MOLLOY GLENN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2250 HAYES ST STE 302, SAN FRANCISCO, CA 94117-1078
(415) 379-2900
(415) 666-3144
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
19585
CA
Other
Enumeration date
03/31/2014
Last updated
04/01/2023
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