Individual
STEPHEN GLOUBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 N 3RD ST STE 2015, PHOENIX, AZ 85020-2404
(602) 279-3575
(602) 279-2666
Mailing address
3020 E CAMELBACK RD, SUITE 301, PHOENIX, AZ 85016-5095
(602) 279-3575
(602) 279-2666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8891
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110639
PIN NUMBER MEDICARE FOR N
AZ
05
—
211300
—
AZ
Enumeration date
06/01/2005
Last updated
02/16/2017
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