Organization
GLICK FAMILY MEDICINE LLC
Active
Other names
Health Quest Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN R GLICK DO (OWNER)
(623) 465-4627
Entity
Organization
Contact information
Practice address
41810 N VENTURE DR, SUITE E-160, ANTHEM, AZ 85086-3169
(623) 465-4627
Mailing address
41810 N VENTURE DR, SUITE E-160, ANTHEM, AZ 85086-3169
(623) 465-4627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5257
AZ
207R00000X
Internal Medicine Physician
4353
AZ
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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