GLEN STREAM, MD
Family Medicine
Active
Individual
NPI: 1265425326
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | G89420 (CA) |
Frequently Asked Questions
NPI 1265425326 is the National Provider Identifier for GLEN STREAM, MD, a Family Medicine provider located in La Quinta, CA. This NPI was enumerated on August 24, 2005.
GLEN STREAM, MD practices at 45280 SEELEY DR, 3RD FLOOR E-365, La Quinta, CA 92253.
Quick Facts
- NPI
- 1265425326
- Type
- Individual
- Enumerated
- Aug 24, 2005
- Last Updated
- Mar 1, 2016
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