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

GLEN ALLEN HALVORSON, M.D.

Active Sole Proprietor

GLEN ALLEN HALVORSON, M.D. is a Physical Medicine & Rehabilitation healthcare provider located in PHOENIX, Arizona. NPI 1588754873 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · PHOENIX, AZ

Registration Details

NPI Number
1588754873
Provider Type
Individual
Gender
Male
NPI Issued
Oct 15, 2006 (19.876240432007 yrs)
Last Updated
Feb 17, 2017
Licenses
G75477 (CA)
47769 (CO)
13342 (NV)
13423 (AZ)
Sole Proprietor
Yes

Practice Information

Address
4550 E BELL RD
SUITE 150
PHOENIX, AZ, 850329306
Browse AZ providers · Browse ZIP 85032
Phone
6027953649
Fax
6027953996
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in PHOENIX, AZ

Name Credential NPI
KEVIN S. LADIN M.D. 1396748851
GARY J. DILLA M.D. 1114920675
DR. BENJAMIN M SUCHER D.O. 1497756316
PETER KUBITZ D.O. 1750373718
MARY E. MERKEL M.D. 1649265406
CHRISTOPHER W HUSTON MD 1841276722
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.