NPI Code Details Logo

NPI 1285636126

NPI 1285636126 : JOHN GLAZER D.O. : TUCSON, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1285636126
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOHN GLAZER D.O.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/11/2005
-----------------------------------------------------
    Last Update Date     |    08/29/2025
-----------------------------------------------------

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

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

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207QA0505X
-----------------------------------------------------
    Taxonomy Name        |    Adult Medicine Physician
-----------------------------------------------------
    License Number       |    007561
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.