Glenn, Ian Clark

Glenn, Ian Clark is an individual health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Glenn, Ian Clark can be contacted via phone (800) 926-8273.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X A170930 California

Profile Details

NPI number 1124381595
LBN Legal business name Glenn, Ian Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Mar 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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