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DAVID I GLASSMAN DO PC NPI 1215199674


NPI Information

NPI: 1215199674
Provider Name: DAVID I GLASSMAN DO PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4444 N 32ND ST
STE 220
PHOENIX, AZ
ZIP 85018
Phone: (602) 747-7026
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DAVID I GLASSMAN DO PC is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DAVID I GLASSMAN DO PC NPI is 1215199674. The provider is registered as an organization entity type.

The provider's business location address is:

4444 N 32ND ST
STE 220
PHOENIX, AZ
ZIP 85018-956
Phone: (602) 747-7026
Fax: (602) 957-1997

The provider's authorized official is David Isaac Glassman .
The authorized official title is Medical Director and has the following contact phone number (602) 747-7026.

The enumeration date for this NPI number is 6/27/2008 and was last updated on 7/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center3988ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1119117MEDICAIDARIZONA
2110758MEDICARE PINARIZONA
3Z110758OTHERARIZONAMEDICARE PTAN
4Z151824OTHERARIZONAMEDICARE PTAN #2
5I59817MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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