Individual
DR. GRANT GLASS NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 CREEKSIDE DR, FOLSOM, CA 95630-3400
(916) 983-7470
(916) 983-7540
Mailing address
946 CARBONDALE RD, IONE, CA 95640-9730
(209) 274-2273
(209) 274-2944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C33639
CA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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