Strohm, Glen Henry

Strohm, Glen Henry is an individual health care provider with primary practice located at 1601 W. St. Mary'S Road , Tucson AZ 85745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Strohm, Glen Henry can be contacted via phone (520) 884-0921.

Contact Information

Primary practice address
1601 W. St. Mary'S Road Tucson AZ 85745
Phone: (520) 884-0921
Fax: (520) 884-7670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 11239 Arizona
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 11239 Arizona

Profile Details

NPI number 1558443465
LBN Legal business name Strohm, Glen Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 9th, 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 1558443465 NPPES
Arizona MEDICAID 236100

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