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Individual

ZACHARY AARON GLASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
775 POLE LINE RD W STE 301, TWIN FALLS, ID 83301-5823
(208) 814-8700
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036171586
IL
208800000X
Urology Physician
1161679
ID
208800000X
Urology Physician
MD.37912
AL

Other

Enumeration date
04/10/2017
Last updated
03/13/2026
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