Mr. Glen Stephen Ellis, CPO
Mr. Glen Stephen Ellis, CPO is a Specialist in Castro Valley, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
3553 Castro Valley Blvd Ste BCastro Valley, CA 94546-4400
Phone: (510) 537-1210
Fax: (510) 537-1082
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1023156130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | No |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
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