Healthcare Provider Details

I. General information

NPI: 1962525329
Provider Name (Legal Business Name): APRIL ROSS GLESINGER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 03/14/2008
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 NumberAZ0525
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: