Gleason, Philip

Gleason, Philip is an individual health care provider with primary practice located at 4614 E Shea Blvd D-110, Phoenix AZ 85028-3070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gleason, Philip can be contacted via phone (480) 404-3700.

Contact Information

Primary practice address
4614 E Shea Blvd D-110 Phoenix AZ 85028-3070
Phone: (480) 404-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 30105 Arizona

Profile Details

NPI number 1871585810
LBN Legal business name Gleason, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871585810 NPPES
Arizona MEDICAID 696065

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