Organization
KIRK MEDICAL INCORPORATED
Active
Other names
Glendale Gynecology Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HOWARTH KIRK III M.D. (PRESIDENT/CEO)
(818) 241-6132
Entity
Organization
Contact information
Practice address
1505 WILSON TER, SUITE 220, GLENDALE, CA 91206-4071
(818) 241-6132
(818) 241-6124
Mailing address
1505 WILSON TER, SUITE 220, GLENDALE, CA 91206-4071
(818) 241-6132
(818) 241-6124
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A54807
CA
Other
Enumeration date
06/05/2010
Last updated
08/10/2010
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