Cook, Glenn Clyde

Cook, Glenn Clyde is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Suite 130, Scottsdale AZ 85251-5648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cook, Glenn Clyde can be contacted via phone (480) 425-5000.

Contact Information

Primary practice address
3501 N Scottsdale Rd Suite 130 Scottsdale AZ 85251-5648
Phone: (480) 425-5000
Fax: (480) 945-6548
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 9993 Arizona

Profile Details

NPI number 1427047463
LBN Legal business name Cook, Glenn Clyde
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Feb 15th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427047463 NPPES
Arizona MEDICAID 254061

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