Glen P Morehead MD INC
Internal Medicine, Medical Oncology in Palm Springs, CA. Organization (NPI-2).
NPI number1962004804
StatusActive
Last updated in NPPESMar 2, 2021
Details
- NPI
- 1962004804
- Entity type
- Organization (NPI-2)
- Legal business name
- Glen P Morehead MD INC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2020
- Certification date
- Mar 2, 2021
- Last updated
- Mar 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | – | – | Yes |
Practice location
1180 N Indian Canyon Dr Ste E218Palm Springs, CA 92262-4885
Phone 760-416-4800
Mailing address
51753 El Dorado DrLa Quinta, CA 92253-9034
Phone 760-619-2309 · Fax 866-428-0708
Authorized official
Glen P Morehead
President
7606192309
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