John David Glenn in Vallejo - Internal Medicine
John David Glenn - NPI 1225188030
John David Glenn is a Internal Medicine in Vallejo, California. John David Glenn practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John David Glenn is 1225188030. The last update date is 2007-07-08.
John David Glenn's current location address is 975 Sereno Dr, Vallejo, California. You can contact this provider via phone number 7076511000. The mailing address for John David Glenn is 975 Sereno Dr, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Glenn |
|---|---|
| Address | 975 Sereno Dr, Vallejo, California |
| Phone Number | 7076511000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225188030 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 975 Sereno Dr |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892441 |
| Phone Number | 7076511000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G39504 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G395040 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John David Glenn by the Centers for Medicare & Medicaid Services?
The John David Glenn has been assigned the NPI (National Provider Identifier) 1225188030 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where John David Glenn is located?
The John David Glenn is situated at the following address: 975 Sereno Dr, Vallejo, CA, 945892441.
What is John David Glenn's specialized field of practice, and what is the corresponding taxonomy classification code?
The John David Glenn's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When was the John David Glenn's 1225188030 issued?
The John David Glenn's 1225188030 was issued on 2007-01-12.
As of what date were the details pertaining to John David Glenn last refreshed?
The information related to the John David Glenn, including its address, specialty, and other relevant details, was last updated on 2007-07-08.