Free National NPI Number Registry
Dr. Glenn J Saucer
Home >Dr. Glenn J Saucer
NPI Number Detailed Information
Provider Information:
| Name: | Dr. Glenn J Saucer |
| Gender: | M |
| Provider License Number If Given: | 12568 |
NPI Information:
| NPI: | 1790770238 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 6/28/2011 |
Provider Business Mailing Address:
| Address: | 1722 PINE ST SUITE 603 Montgomery, AL 36106 |
| Phone Number: | 3342642422 |
| Fax Number: | 3342649294 |
Provider Business Practice Location Address:
| Address: | 1722 PINE ST SUITE 603 Montgomery, AL 36106 |
| Phone Number: | 3342642422 |
| Fax Number: | 3342649294 |
Provider Taxonomy:
| Primary: | 174400000X |
| Secondary (if any): | |
| State: | AL |
