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Contact Information

RONALD M GLICK, DO
3940 E UNIVERSITY DR
MESA, AZ85205-6945
 Phone: 480-924-9235
 Fax: 480-832-5501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for RONALD M GLICK · (Male)

NPI # 1235134412
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/15/2005
Last updated 02/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 2012
  • AZ Medicaid 278938
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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