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Individual

DR. RICHARD JAMES GLASSOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 BETHANY, LAGUNA NIGUEL, CA 92677-2931
(949) 388-8885
(949) 388-8882
Mailing address
8 BETHANY, LAGUNA NIGUEL, CA 92677-2931
(949) 388-8885
(949) 388-8882

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A19764
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A19764
CALIFORNIA LICENSE NUMBER
CA
Enumeration date
12/07/2011
Last updated
12/07/2011
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