Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BURT J GLAZIER, DO
ActiveDR. BURT J GLAZIER, DO is a General Practice healthcare provider located in EAGLE, Idaho. NPI 1477743722 is currently active in the NPPES registry. Verify at CMS.
General Practice · EAGLE, ID
Registration Details
- NPI Number
- 1477743722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2007 (19.01179870823 yrs)
- Last Updated
- Nov 22, 2009
- License
-
0 288 (ID)
Practice Information
- Address
-
1851 W WOODVALLEY STEAGLE, ID, 836163582Browse ID providers · Browse ZIP 83616
- Phone
- 2089390690
- Primary Specialty
-
General Practice
208D00000X
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.