Individual
DR. ALAN MARTIN GLASEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1318 H ST, ARCATA, CA 95521-5837
(707) 822-7041
(708) 822-0655
Mailing address
1318 H ST, ARCATA, CA 95521-5837
(707) 822-7041
(708) 822-0655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G40866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G408660
—
CA
01
—
G40866
MEDICAL LICENSE
CA
Enumeration date
11/01/2006
Last updated
11/02/2011
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