Individual
MR. CLIFFORD RAY COLGLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
912 CENTRAL AVE, GRANT, NE 69140-3099
(308) 352-7100
(308) 352-7103
Mailing address
912 CENTRAL AVE, GRANT, NE 69140-3099
(308) 352-7100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NE14390
NE
Other
Enumeration date
06/30/2005
Last updated
07/07/2023
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