Individual
PAYTON GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 S DODGE ST, IOWA CITY, IA 52240-5142
(847) 736-6040
Mailing address
223 S DODGE ST, IOWA CITY, IA 52240-5142
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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