Individual
GLENN LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6555 COYLE AVE, SUITE 310, CARMICHAEL, CA 95608-0302
(916) 965-4612
(916) 965-9384
Mailing address
6555 COYLE AVE, SUITE 310, CARMICHAEL, CA 95608-0302
(916) 965-4612
(916) 965-9384
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A42757
CA
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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