Individual
DR. GORDON ARTHUR GLASGOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26661 BUCKINGHAM DR, SAN JUAN CAPISTRANO, CA 92675-1421
(714) 402-9942
(949) 364-7229
Mailing address
PO BOX 3433, MISSION VIEJO, CA 92690-1433
(714) 402-9942
(949) 364-7229
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G38908
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G389080
—
CA
01
—
G38908
MEDICAL LICENSE
CA
Enumeration date
08/22/2006
Last updated
03/07/2023
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