Glenn T. Etzel M.D.

NPI 1083727408 - Family Medicine - 207Q00000X

NPI Details
NPI 1083727408
Gender Male
Enumeration Date 08/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
230 N HOSPITAL DR
SUITE 5
PRICE UT, 84501-4221, US
Phone (435) 637-9545
Fax (435) 637-3423
Business Location
PO BOX 882
PRICE UT, 84501-0882, US
Phone (435) 636-0625
Fax (435) 637-4448
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 821690231205
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According to our database, Glenn T. Etzel M.D. NPI is 1083727408, taxonomy code is 207Q00000X and license number is 821690231205, license state is located at Utah. Glenn T. Etzel M.D. physically located at 230 N Hospital Dr, Price UT, 84501-4221. NPI Number Glenn T. Etzel M.D. has the Individual type.

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1083727408 NPI number is provided on an as is basis without warranty of any kind. 1083727408 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn T. Etzel M.D. are for informational purposes only.