Individual
JASON GLOTZBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 N 1900 E, SOM 3C-127, SALT LAKE CITY, UT 84132-2301
(801) 587-7946
Mailing address
30 N 1900 E, SOM 3C-127, SALT LAKE CITY, UT 84132-2301
(801) 587-7946
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
9750730-1205
UT
282N00000X
General Acute Care Hospital
9750730-1205
UT
Other
Enumeration date
04/25/2007
Last updated
11/01/2021
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