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NPI Code Detail

MEDICARE: KATHRYN A. GLATTER M.D.

MEDICARE: KATHRYN A. GLATTER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianG083099CA
2207RC0001XClinical Cardiac Electrophysiology PhysicianG083099CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100G830990OTHERCAMEDI-CAL

General Provider Information

NPI Number : 1780665166
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN A. GLATTER M.D.
Provider Business Mailing Address
First Line : 632 W GIBSON RD
Second Line :
City : WOODLAND
State : CA
Zip : 95695-5169
Country : US
Telephone Number : 530-666-1631
Fax Number :
Provider Business Practice Location Address
First Line : 632 W GIBSON RD
Second Line :
City : WOODLAND
State : CA
Zip : 95695-5169
Country : US
Telephone Number : 530-666-1631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 10/30/2013

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