| Glen Allen Halvorson, MD | |
|
4550 E Bell Rd, Suite 150, Phoenix, AZ 85032-9306 | |
| (602) 795-3649 | |
| (602) 795-3996 |
| Full Name | Glen Allen Halvorson |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4550 E Bell Rd, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588754873 | NPI | - | NPPES |
| 235780 | Other | AZ | AHCCCS |
| Entity Name | Az Integrated Neuro Spine & Pain Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487155354 PECOS PAC ID: 5597027516 Enrollment ID: O20180402001530 |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Allen Halvorson, MD 4550 E Bell Rd, Suite 150, Phoenix, AZ 85032-9306 Ph: (602) 795-3649 | Glen Allen Halvorson, MD 4550 E Bell Rd, Suite 150, Phoenix, AZ 85032-9306 Ph: (602) 795-3649 |
Sam Arrow, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2627 N 3rd St Ste 203, Phoenix, AZ 85004 Phone: 602-834-8341 Fax: 844-693-0491 | |
Dr. Brent Michael Page, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3700 N 24th St Ste 210, Phoenix, AZ 85016 Phone: 602-840-0681 Fax: 602-957-1570 | |
Dr. Gabriel L Bonilla, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2526 W Rancho Laredo Dr, Phoenix, AZ 85085 Phone: 928-600-6762 | |
Morgan Marie Loss, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520 | |
Liat Chana Avital, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14001 N 7th St Ste F112, Phoenix, AZ 85022 Phone: 480-265-2140 Fax: 480-265-2141 | |
Ragav Sharma, DO Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 775 E Willetta St, Phoenix, AZ 85006 Phone: 480-581-3900 | |
Schae Mcleod, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014 Phone: 602-393-0520 |