Individual provider · Type 1 NPI

Eric Wallace Glissmeyer, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Salt Lake City, UT

NPI number 1245490424 Active

Practice location

295 Chipeta Way
Salt Lake City, UT 84108-1287

Mailing address

1966 S 700 E
Bountiful, UT 84010-4104

Specialties and licenses

TaxonomyCodeLicense
Children's Hospital 282NC2000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204X7891781-1205 (UT)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1245490424

Eric Wallace Glissmeyer, MD's National Provider Identifier is 1245490424, issued on Jun 11, 2008. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 10, 2021.