Individual
MR. GLEN S FRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
495 E 4500 S, STE 200, SALT LAKE CITY, UT 84107
(801) 595-8844
(801) 506-0188
Mailing address
495 E 4500 S, STE 200, SALT LAKE CITY, UT 84107
(801) 595-8844
(801) 506-0188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10534932-1205
UT
208000000X
Pediatrics Physician
MD417392
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10101276
—
PA
Enumeration date
09/15/2005
Last updated
08/31/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us