| NPI | 1902311186 |
|---|---|
| Doing Business As | RICHARD D. MCGLOTHLIN |
| Entity Type | Organization |
| Authorized Contact | SANDRA L KOCSIS Manager 916-622-3609 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 19185) |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2020-05-21 |