Individual
DR. GLENN EDWARD MACWHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
716 CAPITOLA AVE, CAPITOLA, CA 95010-2777
(831) 479-1213
(831) 479-1016
Mailing address
1525 CALYPSO DR., APTOS, CA 95003
(831) 479-1213
(831) 479-1016
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
13598
CA
Other
Enumeration date
05/18/2006
Last updated
10/22/2007
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