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Organization

DONALD J GLAZER

Active
Other names
Comprehensive Foot Care
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD JAY GLAZER DPM (PODIATRIST/OWNER)
(804) 741-2889
Entity
Organization

Contact information

Practice address
7702 E PARHAM RD, SUITE 318, HENRICO, VA 23294-4371
(804) 741-2889
(804) 750-1546
Mailing address
7702 E PARHAM RD, SUITE 318, HENRICO, VA 23294-4371
(804) 741-2889
(804) 750-1546

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000433
VA
332B00000X
Durable Medical Equipment & Medical Supplies
0103000433
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9332243
VA
Enumeration date
02/28/2008
Last updated
08/21/2013
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