Individual
MARTIN GLAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
17025 SNOWMOBILE LN STE 102, EAGLE RIVER, AK 99577-7044
(907) 694-9593
(907) 694-9585
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
109945
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1647440
—
AK
Enumeration date
05/31/2016
Last updated
02/23/2023
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