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Individual

ROBERT EDWARD GLASGOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5169 S COTTONWOOD ST STE 410, SALT LAKE CITY, UT 84107-6769
(801) 507-1600
(801) 507-1625
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4899762-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020049917
RAILROAD MEDICARE
UT
Enumeration date
10/13/2006
Last updated
05/23/2023
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