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Individual

JOHN CHARLES GLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7700
Mailing address
PO BOX 49168, SAN JOSE, CA 95161-9168
(503) 372-2740
(503) 372-2754

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G74645
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G746450
CA
Enumeration date
05/15/2006
Last updated
04/07/2011
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