Individual
SCOTT DAVID GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036059380
IL
207ND0900X
Dermatopathology Physician
036059380
IL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
036059380
IL
207NS0135X
Procedural Dermatology Physician
Primary
036059380
IL
Other
Enumeration date
06/13/2005
Last updated
01/05/2016
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