TEDMUND GLEN PO

RIVERSIDE, CA
NPI1518042167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A83322)
Enumeration Date2006-10-25
Last Update Date2015-04-16
Business Address
-- TEDMUND GLEN PO M.D.
5549 VAN BUREN BLVD
RIVERSIDE, CA 92503-2068
Phone number: 951-324-5901
Mailing Address
-- TEDMUND GLEN PO M.D.
200 OCEANGATE SUITE 100
LONG BEACH, CA 90802-4302
Phone number: 562-499-6191
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