Ronald M Glick in Mesa - Pediatric Dermatology

Ronald M Glick - NPI 1235134412

Ronald M Glick is a Pediatric Dermatology in Mesa, Arizona. Ronald M Glick practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Ronald M Glick is 1235134412. The last update date is 2022-02-09.

Ronald M Glick's current location address is 3940 E University Dr, Mesa, Arizona. You can contact this provider via phone number 4809249235 and fax number 4808325501. The mailing address for Ronald M Glick is 3940 E University Dr, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald M Glick
Address 3940 E University Dr, Mesa, Arizona
Phone Number 4809249235
Fax Number 4808325501
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1235134412
Provider Enumeration Date 2005-06-15
Last Updated Date 2022-02-09

Provider Mailing Address Detail

Address 3940 E University Dr
City Mesa
State Arizona (AZ)
Post Code 8520569450
Phone Number 4809249235
Fax Number 4808325501

Provider's Primary Taxonomy Detail

Speciality Pediatric Dermatology
Taxonomy 207Np0225X
Licence No 2012
Definition:
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
278938 AZ --

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FAQs about Ronald M Glick

What is the unique provider identifier assigned to Ronald M Glick?

The Ronald M Glick has been issued the NPI (National Provider Identifier) 1235134412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Ronald M Glick is physically located?

The Ronald M Glick is situated at the following address: 3940 E University Dr, Mesa, AZ 8520569450.

What is Ronald M Glick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ronald M Glick's specialized field of practice is Pediatric Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207Np0225X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1235134412 to Ronald M Glick?

The Centers for Medicare & Medicaid Services originally issued the 1235134412 to Ronald M Glick on 2005-06-15.

When was the Ronald M Glick's information last updated?

The Ronald M Glick's information was last updated on 2022-02-09.

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