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Individual

GLENN T. ETZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
230 N HOSPITAL DR, SUITE 5, PRICE, UT 84501-4221
(435) 637-9545
(435) 637-3423
Mailing address
PO BOX 882, PRICE, UT 84501-0882
(435) 636-0625
(435) 637-4448

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
821690231205
UT

Other

Enumeration date
08/17/2006
Last updated
11/27/2023
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