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Individual

DR. WAYNE MATTHEW GLUF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A66857
CA
207T00000X
Neurological Surgery Physician
Primary
DR.0060998
CO
207T00000X
Neurological Surgery Physician
N7801
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
219468001
TX
01
8CN861
BCBS BILLING NUMBER
TX
01
TIN PLUS 095
TRICARE
TX
Enumeration date
02/08/2006
Last updated
11/19/2018
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