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 |