Organization
GLENDALE ANESTHESIA SPECIALISTS A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT HISCOX M.D. (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(505) 293-1524
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/11/2007
Last updated
02/19/2015
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