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Individual

DANIEL SCOTT GLANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7601 STONERIDGE DR, SOUTH BUILDING, FIRST FLOOR, PLEASANTON, CA 94588-4501
(925) 847-5065
Mailing address
7601 STONERIDGE DR, SOUTH BUILDING, 1ST FLOOR, PLEASANTON, CA 94588-4501
(925) 847-5065

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A053507
CA
207W00000X
Ophthalmology Physician
MD20763
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150633
OR
Enumeration date
07/07/2006
Last updated
12/15/2021
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