Individual
DR. ROBERT V GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WA1288
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GL0422
REGENE BLUE SHIELD
WA
Enumeration date
09/14/2005
Last updated
11/29/2007
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