Organization
DAVID I GLASSMAN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ISAAC GLASSMAN DO (MEDICAL DIRECTOR)
(602) 747-7026
Entity
Organization
Contact information
Practice address
4444 N 32ND ST, STE 220, PHOENIX, AZ 85018-3956
(602) 747-7026
(602) 957-1997
Mailing address
4444 N 32ND ST, STE 220, PHOENIX, AZ 85018-3956
(602) 747-7026
(602) 957-1997
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3988
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119117
—
AZ
01
—
Z110758
MEDICARE PTAN
AZ
01
—
Z151824
MEDICARE PTAN #2
AZ
Enumeration date
06/27/2008
Last updated
07/11/2013
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