Healthcare Provider Details

I. General information

NPI: 1235206988
Provider Name (Legal Business Name): GLESINGER MULTICARE PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

899 N WILMOT RD SUITE E6
TUCSON AZ
85711-1714
US

IV. Provider business mailing address

899 N WILMOT RD SUITE E6
TUCSON AZ
85711-1714
US

V. Phone/Fax

Practice location:
  • Phone: 520-745-2222
  • Fax: 520-745-1211
Mailing address:
  • Phone: 520-745-2222
  • Fax: 520-745-1211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0525
License Number StateAZ

VIII. Authorized Official

Name: APRIL ROSS GLESINGER
Title or Position: OWNER
Credential: DPM
Phone: 520-745-2222