Organization
GLENN MARTIN LIPTON, MD, AMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MARTIN LIPTON M.D. (OWNER)
(310) 574-0400
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY STE 300, MARINA DEL REY, CA 90292-6393
(310) 574-0400
(310) 574-0371
Mailing address
13160 MINDANAO WAY STE 300, MARINA DEL REY, CA 90292-6393
(310) 574-0400
(310) 574-0371
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
AZ32683
AZ
Other
Enumeration date
02/21/2012
Last updated
03/02/2012
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