Individual
DR. GLEN D. AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1501 S YALE ST, STE# 252, FLAGSTAFF, AZ 86001-7304
(928) 774-1811
(928) 774-2001
Mailing address
PO BOX 1231, TUCSON, AZ 85702-1231
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4261
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
973108
—
AZ
Enumeration date
10/06/2006
Last updated
04/30/2026
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