| NPI | 1518971571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D GLAZER President 502-587-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KY 25111) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 2457P) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-04-01 |