Dr. Ronald M Glick
Dermatologist Procedural Dermatology Pediatric Dermatologist
3940 E University Dr
Mesa
, Arizona 85205-6945
Dr. Ronald M Glick
Dermatologist Procedural Dermatology Pediatric Dermatologist
3940 E University Dr
Mesa
, Arizona 85205-6945
(480) 832-5501
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About
Features
Specialties
- Dermatologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Ronald M Glick
- 3940 E University Dr
- Mesa, AZ
- Zip : 85205-6945
- Fax : (480) 832-5501
- Phone : (480) 924-9235
Second Address
- Dr. Ronald M Glick
- 3940 E University Dr
- Mesa, AZ
- Zip : 85205-6945
- Fax : (480) 832-5501
- Phone : (480) 924-9235
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 2012 | AZ |
| N | 207NP0225X | Pediatric Dermatologist | 2012 | AZ |
| N | 207NS0135X | Procedural Dermatology | 2012 | AZ |
National Provider Identifier
| NPI | 1235134412 |
|---|---|
| Provider Name | Dr. Ronald M Glick |
| First Address | Mesa, AZ 85205-6945 |
| Second Address | Mesa, AZ 85205-6945 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/06/2005 |
| Last Update Date | 09/02/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 278938 | (05) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.