Individual
DR. STEPHEN GLACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9787 N 91ST ST, SUITE 101, SCOTTSDALE, AZ 85258-5088
(480) 860-8300
(480) 860-8398
Mailing address
9787 N 91ST ST, SUITE 101, SCOTTSDALE, AZ 85258-5088
(480) 860-8300
(480) 860-8398
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
17082
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0823700
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
09/27/2006
Last updated
07/09/2007
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