Individual
DR. JOHN PHILLIP GLISMANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 CASTLE CREEK RD, ASPEN, CO 81611-1159
(970) 544-1228
Mailing address
PO BOX 4999, ASPEN, CO 81612-4999
(970) 927-4758
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25302
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01253020
—
CO
Enumeration date
06/16/2005
Last updated
07/09/2007
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