Mr. Glen S Frick
M.D., PhD | Pediatrics | Male
Mr. Glen S Frick, M.D., PhD is a Salt Lake City, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mr. Glen S Frick is
495 E 4500 S, Ste 200, Salt Lake City, Utah - 84107. He can be contacted on phone at
801-595-8844 and fax number 801-506-0188.
Mr. Glen S Frick is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Glen S Frick is
1699760629 which was assigned by NPPES on 15 Sep, 2005 and it was last updated on 31 Aug, 2022.
Mr. Glen S Frick license number is
10534932-1205 for Pediatrics (208000000X) in Utah.
Mr. Glen S Frick is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Glen S Frick basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mr. Glen S Frick |
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| Credential : | M.D., PhD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Mr. Glen S Frick address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 495 E 4500 S, Ste 200
Salt Lake City, UT, 84107
United States |
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| Phone Number : | 801-595-8844 |
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| Fax Number : | 801-506-0188 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699760629 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Sep, 2005 |
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| Last Updated On : | 31 Aug, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Glen S Frick are as mentioned. Primary taxonomy code for Mr. Glen S Frick, M.D., PhD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD417392 | PA |
| 208000000X | Pediatrics | Yes | 10534932-1205 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Mr. Glen S Frick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 10101276 | MEDICAID | PA | |
| H99680 | MEDICARE UPIN | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 495 E 4500 S, Ste 200
Salt Lake City, UT, 84107
United States |
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| Phone Number : | 801-595-8844 |
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| Fax Number : | 801-506-0188 |
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Business Location:
Patients can refer following map for directions to
Mr. Glen S Frick practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.