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James J. Glynn, M.d. A Medical Corporation
Specialist in Petaluma, California
NPI 1770768657

James J. Glynn, M.d. A Medical Corporation is a Specialist based in Petaluma, CA. James J. Glynn, M.d. A Medical Corporation practices in Petaluma, CA. The NPI Number for James J. Glynn, M.d. A Medical Corporation is 1770768657 and holds a License No. G22422 (California).

The current practice location address for James J. Glynn, M.d. A Medical Corporation is 1496 Professional Dr, Petaluma, CA and can be reached out via phone at 707-778-1131 and via fax at 707-778-3818.

Location: 1496 Professional Dr, Petaluma, CA, 94954-6698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770768657
Provider Name
James J. Glynn, M.d. A Medical Corporation
Credential
Provider Entity Type
Organization
Address
1496 Professional Dr, Petaluma, CA, 94954-6698
Phone Number
707-778-1131
Fax Number
707-778-3818
Provider Enumeration Date
01/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770768657 01 CA NPI
DL686A 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
1496 Professional Dr
City
Petaluma
State
California
Zip
94954-6698
Phone Number
707-778-1131
Fax Number
707-778-3818
person
Provider Business Mailing Address Details
Address
1496 Professional Dr
City
Petaluma
State
California
Zip
94954-6698
Phone Number
707-778-1131
Fax Number
707-778-3818
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G22422 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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