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Contact Information

GLENN B ROTHMAN, MD
1520 S. DOBSON ROAD
SUITE 305
MESA, AZ85202
 Phone: 602-539-4000
 Fax: 602-833-3040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GLENN B ROTHMAN · (Male)

NPI # 1366497976
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2006
Last updated 09/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 23172
  • AZ Medicaid 21316
Hospital affiliation(s)
  • BANNER DESERT MEDICAL CENTER - (Acute Care)
    1400 SOUTH DOBSON ROAD
    MESA, AZ 85202
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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