Glenn Clark, CRNA

NPI 1568632982 · on the registry since 2008

Practice

Address: 207 W Legion Rd
Brawley, CA 92227
Phone: (760) 351-3333
Organisation at this address: Vincent Chiu Md Inc
Richard Jacoby Md Inc
Cep America - California
Imperial Endovascular Pc
Sc Surgery Network, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Additional practice sites

245 E Ash St, Brea, CA
207 W Legion Rd, Brawley, CA

Registry record

Primary taxonomy: 367500000X
367500000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California