Individual
DAVID E. GLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 W RILEY RD, PAYSON, AZ 85541-3521
(928) 970-0417
Mailing address
1701 W RILEY RD, PAYSON, AZ 85541-3521
(928) 970-0417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4698
AZ
Other
Enumeration date
01/16/2007
Last updated
06/04/2010
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