Organization
GLENN DONALD GARBUTT, M.D., INC
Active
Other names
Valley Nephrology Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA ELIZABETH GARCIA (OFFICE ADMINISTRATOR/LIAISON)
(559) 448-8481
Entity
Organization
Contact information
Practice address
1191 E HERNDON AVE STE 102, FRESNO, CA 93720-3164
(559) 448-8481
(559) 448-0996
Mailing address
1191 E HERNDON AVE STE 102, FRESNO, CA 93720-3164
(559) 448-8481
(559) 448-0996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G13844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ99970Z
MEDICARE PTAN
CA
Enumeration date
02/05/2015
Last updated
06/13/2024
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