| Glick Medical Group, Pllc | |
|
7659 E Pinnacle Peak Rd Ste 105 Scottsdale AZ 85255-6298 | |
| (480) 222-4600 | |
| (480) 222-4619 |
| Full Name | Glick Medical Group, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7659 E Pinnacle Peak Rd Ste 105, Scottsdale, Arizona |
| Authorized Official Name and Position | Shantel Glick (OWNER) |
| Authorized Official Contact | 6233295416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glick Medical Group, Pllc 7659 E Pinnacle Peak Rd Ste 105 Scottsdale AZ 85255-6298 Ph: (480) 222-4600 | Glick Medical Group, Pllc 7659 E Pinnacle Peak Rd Ste 105 Scottsdale AZ 85255-6298 Ph: (480) 222-4600 |
| NPI Number | 1285305144 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 4981092897 |
|---|---|
| Medicare Enrollment ID | O20211026002956 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285305144 | NPI | - | NPPES |
| Z178737 | Other | AZ | FAMILY PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Bryan R Glick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164620308 PECOS PAC ID: 2365624137 Enrollment ID: I20110315001022 |
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