NPI | 1265401756 |
---|---|
Professional Name | GREGORY JOSEPH GLICK |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA-2290) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NM PA2005-0016) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2012-10-05 |