GLEN O'SULLIVAN, M.D.
Specialist
Active
Individual
NPI: 1972504652
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | A44219 (CA) |
Frequently Asked Questions
NPI 1972504652 is the National Provider Identifier for GLEN O'SULLIVAN, M.D., a Specialist provider located in Mount Shasta, CA. This NPI was enumerated on August 3, 2005.
GLEN O'SULLIVAN, M.D. practices at 635 LASSEN LN, Mount Shasta, CA 96067.
Quick Facts
- NPI
- 1972504652
- Type
- Individual
- Enumerated
- Aug 3, 2005
- Last Updated
- Nov 23, 2010
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