Glick Family Medicine LLC
Family Medicine in Anthem, AZ. Organization (NPI-2).
NPI number1720388127
StatusActive
Last updated in NPPESNov 1, 2010
Details
- NPI
- 1720388127
- Entity type
- Organization (NPI-2)
- Legal business name
- Glick Family Medicine LLC
- Organization subpart
- No
- Enumeration date
- Nov 1, 2010
- Last updated
- Nov 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 5257 | AZ | Yes |
| 207R00000X | Internal Medicine | 4353 | AZ |
Other names
- Health Quest Family Medicine (Doing Business As)
Practice location
41810 N Venture DrSuite E-160
Anthem, AZ 85086-3169
Phone 623-465-4627
Mailing address
41810 N Venture DrSuite E-160
Anthem, AZ 85086-3169
Phone 623-465-4627
Authorized official
Bryan R Glick
Owner
6234654627
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