Organization
GLENN EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (OWNER)
(925) 482-2811
Entity
Organization
Contact information
Practice address
1133 W SYCAMORE ST, WILLOWS, CA 95988-2601
(530) 934-1840
(530) 934-1829
Mailing address
PO BOX 661972, ARCADIA, CA 91066-1972
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100490
—
CA
Enumeration date
08/30/2006
Last updated
07/21/2022
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