Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | A55545 | CA |
NPI | 1124001318 |
---|---|
Provider Name | Francis Glaser |
First Address | Fresno, CA 93720-3305 |
Second Address | Fresno, CA 93720-3305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0170217 | STATE OF WASHINGTON (01) | CA |
H04219 | (02) | CA |