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Individual
JASON GLOTZBACH
Active
Individual
JASON GLOTZBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9750730-1205
UT
282N00000X
General Acute Care Hospital
9750730-1205
UT
Other
Enumeration date
04/25/2007
Last updated
11/01/2021
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