Glembocki, David J

Glembocki, David J is an individual health care provider with primary practice located at 11130 N Tatum Blvd Suite 100, Phoenix AZ 85028-1662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Glembocki, David J can be contacted via phone (602) 494-1817.

Contact Information

Primary practice address
11130 N Tatum Blvd Suite 100 Phoenix AZ 85028-1662
Fax: (602) 494-7103
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 30978 Arizona

Profile Details

NPI number 1043288657
LBN Legal business name Glembocki, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 5th, 2016 - about 8 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 1043288657 NPPES
Arizona MEDICAID 796766

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