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Individual
DR. GLENN R. WAITE
Active
Individual
DR. GLENN R. WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23679
CO
207Q00000X
Family Medicine Physician
8577
NV
207Q00000X
Family Medicine Physician
A38237
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
M-11148
ID
2081P0004X
Spinal Cord Injury Medicine Physician
23679
CO
2081P0004X
Spinal Cord Injury Medicine Physician
8577
NV
2081P0004X
Spinal Cord Injury Medicine Physician
A38237
CA
Other
Enumeration date
08/02/2006
Last updated
06/25/2014
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