Organization
GMD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GLENN MD (PRESIDENT)
(650) 787-4765
Entity
Organization
Contact information
Practice address
1795 EL CAMINO REAL FL 2, PALO ALTO, CA 94306-1164
(650) 787-4765
Mailing address
195 HILLSIDE AVE, MENLO PARK, CA 94025-6537
(650) 787-4765
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194875229
—
CA
Enumeration date
12/08/2021
Last updated
12/08/2021
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