Individual
DANIEL GLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5314 N 250 W STE 220, PROVO, UT 84604-7746
(801) 225-8484
(801) 225-6170
Mailing address
5314 N 250 W STE 220, PROVO, UT 84604-7746
(801) 225-8484
(801) 225-6170
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
7942795-1205
UT
Other
Enumeration date
04/23/2020
Last updated
08/07/2026
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