Individual
JOHN EDWARD GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
271 PASEO DE DIA # 1A, LAS CRUCES, NM 88011-7341
(575) 323-6500
(575) 323-6501
Mailing address
2908 HILLRISE DR, LAS CRUCES, NM 88011-4702
(505) 522-5222
(505) 522-5223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NM 79-164
NM
Other
Enumeration date
08/01/2006
Last updated
10/07/2022
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