Individual provider · Type 1 NPI
Burt J. Glazier, DO
General Practice Physician · Eagle, ID
NPI number
1477743722
Active
Practice location
1851 W Woodvalley St
Eagle, ID 83616-3582
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 0 288 (ID) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1477743722
Burt J. Glazier, DO's National Provider Identifier is 1477743722, issued on Aug 1, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Eagle, ID. The record was last updated on Nov 22, 2009.