| NPI | 1093060717 |
|---|---|
| Other Name | BRYAN R GLICK MBR |
| Entity Type | Organization |
| Authorized Contact | BRYAN R GLICK Owner 480-222-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: AZ 005257) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2021-10-11 |