Individual
NITZA L GLICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
107 E OAK AVE, SUITE 202, FLAGSTAFF, AZ 86001-1818
(928) 773-2560
(928) 913-8835
Mailing address
107 E OAK AVE, SUITE 202, FLAGSTAFF, AZ 86001-1818
(928) 773-2560
(928) 913-8835
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1974
AZ
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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