Organization
GLEN GRAYMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN GRAYMAN M.D. (PRESIDENT)
(760) 954-4030
Entity
Organization
Contact information
Practice address
35012 MISSION HILLS DR, RANCHO MIRAGE, CA 92270-1305
(760) 954-4030
(760) 406-5611
Mailing address
35012 MISSION HILLS DR, RANCHO MIRAGE, CA 92270-1305
(760) 954-4030
(760) 406-5611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G29724
CA
Other
Enumeration date
11/08/2006
Last updated
10/05/2007
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