Organization
GLENN M LIPTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN M LIPTON M.D. (OFFICER)
(928) 649-7999
Entity
Organization
Contact information
Practice address
294 W STATE ROUTE 89A, SUITE 110, COTTONWOOD, AZ 86326-3754
(928) 649-7999
Mailing address
989 S MAIN ST, STE. A613, COTTONWOOD, AZ 86326-4601
(928) 649-7999
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
32683
AZ
Other
Enumeration date
07/09/2006
Last updated
03/23/2011
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