Glenn W Waterkotte
MD | Pediatrics | Male
Glenn W Waterkotte, MD is a Phoenix, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Glenn W Waterkotte is
300 W Clarendon Ave, 375, Phoenix, Arizona - 85013-3420. He can be contacted on phone at
602-277-4161 and fax number 602-274-3394.
Glenn W Waterkotte is a sole proprietor of his business.
NPI number (Unique professional ID) for Glenn W Waterkotte is
1558395921 which was assigned by NPPES on 10 Jul, 2006 and it was last updated on 08 Jul, 2007.
Glenn W Waterkotte 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:
Glenn W Waterkotte basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Glenn W Waterkotte |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Glenn W Waterkotte 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 : | 300 W Clarendon Ave, 375
Phoenix, AZ, 85013-3420
United States |
|---|
| Phone Number : | 602-277-4161 |
|---|
| Fax Number : | 602-274-3394 |
|---|
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 : | 1558395921 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 10 Jul, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
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 Glenn W Waterkotte are as mentioned. Primary taxonomy code for Glenn W Waterkotte, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 9991 | AZ |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 9991 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Glenn W Waterkotte such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 223553 | MEDICAID | AZ | |
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 : | 300 W Clarendon Ave, 375
Phoenix, AZ, 85013-3420
United States |
|---|
| Phone Number : | 602-277-4161 |
|---|
| Fax Number : | 602-274-3394 |
|---|
Business Location:
Patients can refer following map for directions to
Glenn W Waterkotte practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.