Glen Gabrielson

NPI 1427210491 - Family Medicine - 207Q00000X

NPI Details
NPI 1427210491
Enumeration Date 06/30/2008
Last Updated 09/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GLEN A GLEN
Position PHYSICIAN/OWNER
Phone (334) 794-6504
Fax (334) 793-4452
Practice Location
1891 HONEYSUCKLE RD
STE 2
DOTHAN AL, 36305-4290, US
Phone (334) 794-6504
Fax (334) 793-4452
Business Location
1891 HONEYSUCKLE RD
STE 2
DOTHAN AL, 36305-4290, US
Phone (334) 794-6504
Fax (334) 793-4452
Toxanomy
Taxonomy Code 207Q00000X
License State Alabama
License Number 12449
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According to our database, Glen Gabrielson NPI is 1427210491, taxonomy code is 207Q00000X and license number is 12449, license state is located at Alabama. Glen Gabrielson physically located at 1891 Honeysuckle Rd, Dothan AL, 36305-4290. NPI Number 1033115704 has the healthcare provider type.

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1427210491 NPI number is provided on an as is basis without warranty of any kind. 1427210491 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Gabrielson are for informational purposes only.