Organization
ANESTHESIOLOGIST COLLECTIVE OF NORTHERN CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M GLENN MD (PRESIDENT)
(650) 787-4765
Entity
Organization
Contact information
Practice address
195 HILLSIDE AVE, MENLO PARK, CA 94025-6537
(650) 787-4765
Mailing address
195 HILLSIDE AVE, MENLO PARK, CA 94025-6537
(650) 787-4765
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G83704
CA
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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