MEDICARE: JOHN GLAZER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	007561	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z216210	OTHER	AZ	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285636126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN GLAZER D.O.

Provider Business Mailing Address
First Line	:	102 WOODMONT BLVD STE 600
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37205-5250
Country	:	US
Telephone Number	:	615-706-8357
Fax Number	:	615-523-1910

Provider Business Practice Location Address
First Line	:	9550 E GOLF LINKS RD STE 100
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85730-1400
Country	:	US
Telephone Number	:	520-910-0207
Fax Number	:	855-576-4748

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	08/29/2025

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Directions to “ JOHN GLAZER D.O.” Practice Location

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