Herbert Ellis Gladen M.D.

NPI 1003893207 - Surgery - 2086S0102X

NPI Details
NPI 1003893207
Gender Male
Enumeration Date 12/28/2005
Last Updated 03/09/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
428 SIOC ST
COLUSA CA, 95932-2651, US
Phone (530) 845-2281
Fax
Business Location
428 SIOC ST
COLUSA CA, 95932-2651, US
Phone (530) 845-2281
Fax
Toxanomy
Taxonomy Code 2086S0102X
License State California
License Number G59520
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According to our database, Dr. Herbert Ellis Gladen M.D. NPI is 1003893207, taxonomy code is 2086S0102X and license number is G59520, license state is located at California. Herbert Ellis Gladen M.D. physically located at 428 Sioc St, Colusa CA, 95932-2651. NPI Number Herbert Ellis Gladen M.D. has the Individual type.

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1003893207 NPI number is provided on an as is basis without warranty of any kind. 1003893207 is maintained by the National Plan & Provider Enumeration System. The contents of Herbert Ellis Gladen M.D. are for informational purposes only.