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Individual

DANA GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6622
(858) 874-5287
Mailing address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6622
(858) 874-5287

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G60159
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G01590
CA
Enumeration date
08/09/2006
Last updated
06/19/2013
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