Individual
GARY GLONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2155 APPERSON DR, SALEM, VA 24153-7235
(540) 772-3490
(540) 772-3820
Mailing address
2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 37027-4525
(615) 373-7600
(877) 767-2310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101019456
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005855039
—
VA
01
—
P00290781
MEDICARE RAILROAD
VA
Enumeration date
01/11/2006
Last updated
10/12/2018
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