DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN E KOTZ, MD

Active

GLENN E KOTZ, MD is a Family Medicine healthcare provider located in BASALT, Colorado. NPI 1417943366 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · BASALT, CO

Registration Details

NPI Number
1417943366
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2005 (20.852120880064 yrs)
Last Updated
Jul 8, 2007
License
CO30756 (CO)

Practice Information

Address
1450 E VALLEY RD
SUITE 101
BASALT, CO, 816218304
Browse CO providers · Browse ZIP 81621
Phone
9709276101
Fax
9709276888
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BASALT, CO

Name Credential NPI
BRUCE K BOWEN MD 1679569479
DR. ANNA GABRIELA KONICEK D.O. 1710034236
MR. TIMOTHY RICHARD KRUSE M.D. 1306988126
DR. ANNELIESE HECKERT D.O. 1538456041
ANDREW DAVID BROOKS DO 1982285649
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.