Individual
JUSTIN GLAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3848 HARRISON BLVD, OGDEN, UT 84408-0001
(801) 626-6000
Mailing address
3330 MIDLAND DR, APT A202, WEST HAVEN, UT 84401-6957
(801) 458-8509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/26/2015
Last updated
09/26/2015
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