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

MR. GLEN S FRICK, M.D., PHD

Active Sole Proprietor

Pediatrics · SALT LAKE CITY, UT

Registration Details

NPI Number
1699760629
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2005 (20.600849085717 yrs)
Last Updated
Aug 31, 2022
Licenses
MD417392 (PA)
10534932-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
495 E 4500 S
STE 200
SALT LAKE CITY, UT, 84107
Browse UT providers · Browse ZIP 84107
Phone
8015958844
Fax
8015060188
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in SALT LAKE CITY, UT

Name Credential NPI
JUSTIN CHARLES ALVEY M.D. 1346248465
ROBERT KEITH ROTHFEDER MD 1750381307
CYNTHIA LEE CARMACK MD 1548254360
DR. KENNETH R BROADBENT MD 1447232285
DR. MICHELLE A CHAMBERLAIN MD 1992787741
DR. CLAUDIA J FRUIN MD 1619959319
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.