NPI 1477282416

Kevin S Glidewell

Practitioner Phlebology Physician Mesa, AZ

Practice location

Address: 2041 E 3rd Dr, Mesa, AZ 85204-1401
Phone: (480) 203-6855
Fax: (480) 900-8853

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 03D2197602 (AZ)

Other Phlebology providers in Arizona →

Registry record

NPI: 1477282416
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2022
Record last updated: 6 Jun 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.