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Individual
DR. RICHARD LEE GLAZE
Active
Individual
DR. RICHARD LEE GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26042
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26042
ALABAMA MEDICAL LICENSE
AL
01
—
515-22766
BCBS AL PROV # OPELIKA
AL
01
—
515-22780
BCBS AL PROV # AUBURN
AL
01
—
969760
AAP ID
—
Enumeration date
02/13/2007
Last updated
03/07/2023
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