| Bryan R Glick Mbr | |
|
7659 E Pinnacle Peak Rd Ste 105 Scottsdale AZ 85255-6297 | |
| (480) 222-4600 | |
| (480) 222-4619 |
| Full Name | Bryan R Glick Mbr |
|---|---|
| Speciality | General Practice |
| Location | 7659 E Pinnacle Peak Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Bryan R Glick (OWNER) |
| Authorized Official Contact | 4802224600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan R Glick Mbr 7659 E Pinnacle Peak Rd Ste 105 Scottsdale AZ 85255-6297 Ph: (480) 222-4600 | Bryan R Glick Mbr 7659 E Pinnacle Peak Rd Ste 105 Scottsdale AZ 85255-6297 Ph: (480) 222-4600 |
| NPI Number | 1093060717 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 8820303126 |
|---|---|
| Medicare Enrollment ID | O20150817000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093060717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 005257 (Arizona) | Primary |
| Provider Name | Bryan R Glick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164620308 PECOS PAC ID: 2365624137 Enrollment ID: I20110315001022 |
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