Mr. Eric Wallace Glissmeyer
Pediatric Emergency Doctor
295 Chipeta Way
Salt Lake City
, Utah 84108-1287
Mr. Eric Wallace Glissmeyer
Pediatric Emergency Doctor
295 Chipeta Way
Salt Lake City
, Utah 84108-1287
(801) 298-0076
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Mr. Eric Wallace Glissmeyer
- 1966 S 700 E
- Bountiful, UT
- Zip : 84010-4104
- Phone : (801) 298-0076
Second Address
- Mr. Eric Wallace Glissmeyer
- 295 Chipeta Way
- Salt Lake City, UT
- Zip : 84108-1287
- Phone : (801) 587-7450
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Is Mr. Eric Wallace Glissmeyer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 7891781-1205 | UT |
National Provider Identifier
| NPI | 1245490424 |
|---|---|
| Provider Name | Mr. Eric Wallace Glissmeyer |
| First Address | Bountiful, UT 84010-4104 |
| Second Address | Salt Lake City, UT 84108-1287 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2008 |
| Last Update Date | 10/12/2021 |
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.