NPI 1003565904

Illya Glazunov, DC

Practitioner Chiropractor Albany, OR

Practice location

Address: 2625 Queen Ave SE, Albany, OR 97322-6863
Phone: (541) 928-8266
Mailing address: 2828 Lucia CT NW, Albany, OR 97321-1194

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 6213 (OR)

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Registry record

NPI: 1003565904
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2022
Record last updated: 20 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.