Individual
DEVON N GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
26800 CROWN VALLEY PKWY STE 420, MISSION VIEJO, CA 92691-8023
(949) 272-0007
(949) 272-0006
Mailing address
32565 B GOLDEN LANTERN STREET, PMB 341, DANA POINT, CA 92629-3261
(949) 272-0007
(949) 272-0006
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235171067
—
CA
Enumeration date
06/13/2006
Last updated
05/16/2019
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