Organization
MEDICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN KUNSMAN DO (CEO)
(928) 377-2882
Entity
Organization
Contact information
Practice address
6120 W BELL RD STE 100, GLENDALE, AZ 85308-3780
(833) 263-3426
(866) 264-4120
Mailing address
6120 W BELL RD STE 100, GLENDALE, AZ 85308-3780
(332) 633-4268
(866) 264-4120
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
11/15/2021
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