Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLEN STEPHEN ELLIS, C.P.O.
ActiveMR. GLEN STEPHEN ELLIS, C.P.O. is a Specialist healthcare provider located in CASTRO VALLEY, California. NPI 1023156130 is currently active in the NPPES registry. Verify at CMS.
Specialist · CASTRO VALLEY, CA
Registration Details
- NPI Number
- 1023156130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2007 (19.513714978196 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
3553 CASTRO VALLEY BLVDSUITE BCASTRO VALLEY, CA, 945464400Browse CA providers · Browse ZIP 94546
- Phone
- 5105371210
- Fax
- 5105371082
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in CASTRO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RAVI S PANJABI | MD | 1225024219 |
| MRS. R SCOTT SNYDER | M.D. | 1033173919 |
| CATHERINE COVEY | M.D. | 1942213764 |
| CYNTHIA MAHONEY | M.D. | 1205849031 |
| ELIZABETH ANN HURLEY | C.O. | 1205962818 |
| JEFFREY ALLAN ZELLNER | — | 1104020478 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.