Individual
ROBERT GLENN HOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 S FAIRMONT AVE, STE 200, LODI, CA 95240
(209) 334-3333
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A37047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022330
—
CA
Enumeration date
08/02/2006
Last updated
08/16/2010
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