| 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 |