NPI 1235134412

Ronald M Glick, DO

Practitioner Dermatology Physician Mesa, AZ

Practice location

Address: 3940 E University Dr, Mesa, AZ 85205-6945
Phone: (480) 924-9235
Fax: (480) 832-5501

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2012 (AZ)

Other Dermatology providers in Arizona →

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 2012 (AZ)

Pediatric Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 2012 (AZ)

Registry record

NPI: 1235134412
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2005
Record last updated: 9 Feb 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.