Glen S O'sullivan, MD - Mount Shasta, CA

Glen S O'sullivan, MD

Specialist in Mount Shasta, California

NPI 1972504652

Glen S O'sullivan is a Specialist based in Mount Shasta, CA. Glen S O'sullivan practices in Mount Shasta, CA and has the professional credentials of MD. The NPI Number for Glen S O'sullivan is 1972504652 and holds a License No. A44219 (California).

The current practice location address for Glen S O'sullivan is 635 Lassen Ln, Mount Shasta, CA and can be reached out via phone at 866-668-3597 and via fax at 866-301-6641.

Location: 635 Lassen Ln, Mount Shasta, CA, 96067-9003

NPI Number

1972504652

Provider Name

Glen S O'sullivan

Credential

Provider Entity Type

Individual

Gender

Male

Address

635 Lassen Ln, Mount Shasta, CA, 96067-9003

Phone Number

866-668-3597

Fax Number

866-301-6641

Provider Enumeration Date

08/03/2005

Last Update Date

03/08/2024

Address

635 Lassen Ln

City

Mount Shasta

State

California

Zip

96067-9003

Phone Number

866-668-3597

Fax Number

866-301-6641

Address

635 Lassen Ln

City

Mount Shasta

State

California

Zip

96067-9003

Phone Number

866-668-3597

Fax Number

866-301-6641

Type

Other Service Providers

Classification

Specialist

Speciality

Taxonomy

174400000X

License No.

A44219 (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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