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Organization

GLENN J SAUCER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLENN J SAUCER MD (PRESIDENT)
(334) 264-2422
Entity
Organization

Contact information

Practice address
1722 PINE ST, SUITE 603, MONTGOMERY, AL 36106-1103
(334) 264-2422
(334) 264-9294
Mailing address
1722 PINE ST, SUITE 603, MONTGOMERY, AL 36106-1103
(334) 264-2422
(334) 264-9294

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12568
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000015771
AL
Enumeration date
04/01/2009
Last updated
06/28/2011
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