Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN R ALBERTSON JR., M.D
Active Sole ProprietorGLEN R ALBERTSON JR., M.D is a Critical Access Hospital healthcare provider located in GOODING, Idaho. NPI 1952462681 is currently active in the NPPES registry. Verify at CMS.
Critical Access Hospital · GOODING, ID
Registration Details
- NPI Number
- 1952462681
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.638384061768 yrs)
- Last Updated
- Jul 9, 2007
- License
-
282NC0060X (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1120 MONTANA STGOODING, ID, 833301858Browse ID providers · Browse ZIP 83330
- Phone
- 2089344433
- Fax
- 2089348643
- Primary Specialty
-
Critical Access Hospital
282NC0060X
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.