NPI 1437882099
Tristan David Glenn, DO
Practice location
- Address
- 1919 Lathrop St, Fairbanks, AK 99701-5937
- Phone
- (907) 459-2619
- Fax
- (907) 374-1089
- Mailing address
- PO Box 73720, Fairbanks, AK 99707-3720
Registered specialties (2)
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Neuromusculoskeletal Medicine & OMM Physician
Registry record
- NPI
- 1437882099
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jul 2022
- Record last updated
- 29 Jul 2025
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.