MEDICARE: DR. GLAUBER BRUNO PEREIRA MD, PHD

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	E-12963	AR
2	207RP1001X	Pulmonary Disease Physician	E-12963	AR

General Provider Information

NPI Number	:	1841610037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLAUBER BRUNO PEREIRA MD, PHD

Provider Business Mailing Address
First Line	:	2708 S RIFE MEDICAL LN STE T20
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-1469
Country	:	US
Telephone Number	:	479-338-3080
Fax Number	:

Provider Business Practice Location Address
First Line	:	2708 S RIFE MEDICAL LN STE T20
Second Line	:
City	:	ROGERS
State	:	AR
Zip	:	72758-1469
Country	:	US
Telephone Number	:	479-338-3089
Fax Number	:

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

Provider Enumeration Date	:	04/26/2014
Last Update Date	:	08/04/2020

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