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Individual

GLENN ALLEN BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.,

Contact information

Practice address
9021 N 51ST AVE, GLENDALE, AZ 85302-4210
(623) 939-7509
(623) 939-7500
Mailing address
9021 N 51ST AVE, GLENDALE, AZ 85302-4210
(623) 939-7509
(623) 939-7500

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2029
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
860417002
TAX ID
AZ
01
AZ0085160
BCBS
AZ
Enumeration date
10/17/2006
Last updated
04/20/2008
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