Individual provider · Type 1 NPI

Glenn T. Royes, HSC

Military/U.S. Coast Guard Outpatient Clinic/Center · Petaluma, CA

NPI number 1376671743 Active

Practice location

599 Tomales Rd
Petaluma, CA 94952-5002

Call (707) 765-7491 Map

Fax (707) 765-7773

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

68 other providers at this address

About NPI 1376671743

Glenn T. Royes, HSC's National Provider Identifier is 1376671743, issued on Feb 28, 2007. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Petaluma, CA. The record was last updated on Jul 8, 2007.