Individual
DR. BURT J GLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1851 W WOODVALLEY ST, EAGLE, ID 83616-3582
(208) 939-0690
Mailing address
1851 W WOODVALLEY ST, EAGLE, ID 83616-3582
(208) 939-0690
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0 288
ID
Other
Enumeration date
08/01/2007
Last updated
11/22/2009
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