Dr. James J Glynn
Orthopaedic Surgeon
1496 Professional Drive Suite 601
Petaluma
, California 94954
Dr. James J Glynn
Orthopaedic Surgeon
1496 Professional Drive Suite 601
Petaluma
, California 94954
(707) 778-3818
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. James J Glynn
- 1496 Professional Drive Suite 601
- Petaluma, CA
- Zip : 94954
- Fax : (707) 778-3818
- Phone : (707) 778-1131
Second Address
- Dr. James J Glynn
- 1496 Professional Drive Suite 601
- Petaluma, CA
- Zip : 94954
- Fax : (707) 778-3818
- Phone : (707) 778-1131
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | G22422 | CA |
National Provider Identifier
| NPI | 1023024254 |
|---|---|
| Provider Name | Dr. James J Glynn |
| First Address | Petaluma, CA 94954 |
| Second Address | Petaluma, CA 94954 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 27/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023024254 | NPI (01) | CA |
| DL687Z | PTAN (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.