Paul John Gleason is a Sports in Phoenix, Arizona. Paul John Gleason practices all healthcare services and medical treatments related to Sports. The NPI Number for Paul John Gleason is 1649247651. The last update date is 2007-11-27.
Paul John Gleason's current location address is 375 E Virginia Ave, Phoenix, Arizona. You can contact this provider via phone number 6022645323 and fax number 6022645302. The mailing address for Paul John Gleason is 375 E Virginia Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul John Gleason |
|---|---|
| Address | 375 E Virginia Ave, Phoenix, Arizona |
| Phone Number | 6022645323 |
| Fax Number | 6022645302 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1649247651 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 375 E Virginia Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850041220 |
| Phone Number | 6022645323 |
| Fax Number | 6022645302 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 656 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 781387 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Paul John Gleason by the Centers for Medicare & Medicaid Services (CMS)?
The Paul John Gleason has been assigned the NPI (National Provider Identifier) 1649247651. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Paul John Gleason?
The Paul John Gleason is situated at 375 E Virginia Ave, in the city of Phoenix, state of AZ, with the zip code 850041220.
What is Paul John Gleason's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul John Gleason's specialized field of practice is Sports, and the corresponding taxonomy code that categorizes this area of specialization is 2251S0007X.
On what date was the 1649247651 assigned to Paul John Gleason?
The Paul John Gleason was issued its 1649247651 on 2006-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Paul John Gleason, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul John Gleason, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-27.
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