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

GARY M GLAZE, D.O.

Active Sole Proprietor

GARY M GLAZE, D.O. is a Interventional Vascular Surgery healthcare provider located in GRASS VALLEY, California. NPI 1932150257 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · GRASS VALLEY, CA

Registration Details

NPI Number
1932150257
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2006 (20.27103493026 yrs)
Last Updated
Apr 26, 2023
Licenses
20A4983 (CA)
20A4983 (CA)
Sole Proprietor
Yes

Practice Information

Address
380 SIERRA COLLEGE DR
SUITE 200
GRASS VALLEY, CA, 959455092
Browse CA providers · Browse ZIP 95945
Phone
9166133392
Fax
9162669318
Primary Specialty
Interventional Vascular Surgery
208VP0014X

Other Interventional Vascular Surgery Providers in GRASS VALLEY, CA

Name Credential NPI
DR. WLADISLAW V ELLIS M.D. 1992702039
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.