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Dr. Richard Lee Glaze, M.D.

Pediatrics in Opelika, AL. Individual provider (NPI-1).

NPI number1427190842
StatusActive
Last updated in NPPESMar 7, 2023

Details

NPI
1427190842
Entity type
Individual (NPI-1)
Name
Dr. Richard Lee Glaze
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 13, 2007
Last updated
Mar 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics26042ALYes

Practice location

2401 Village Professional Drive
Opelika, AL 36801-4702

Phone 334-749-8121 · Fax 334-749-6166

Mailing address

2401 Village Professional Drive
Opelika, AL 36801-4702

Phone 334-749-8121 · Fax 334-749-6166

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