person
Dr. Glenn J Waldt, DO
Student in an Organized Health Care Education/Training Program in Las Cruces, New Mexico
NPI 1437219698

Glenn J Waldt is a Student in an Organized Health Care Education/Training Program based in Las Cruces, NM. Glenn J Waldt practices in Las Cruces, NM and has the professional credentials of DO. The NPI Number for Glenn J Waldt is 1437219698 and holds a License No. A045921 (New Mexico).

The current practice location address for Glenn J Waldt is 2900 Hillrise Drive, Las Cruces, NM and can be reached out via phone at 505-695-1227 and via fax at 877-532-2113. You can also correspond with Glenn J Waldt through the mailing address at 1180 COMMERCE DRIVE #14222, LAS CRUCES, NM - 88011-8255 (mailing address contact number: 505-695-1227).

Location: 2900 Hillrise Drive, Las Cruces, NM, 88011-8255
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Provider Profile Details
NPI Number
1437219698
Provider Name
Glenn J Waldt
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2900 Hillrise Drive, Las Cruces, NM, 88011-8255
Phone Number
505-695-1227
Fax Number
877-532-2113
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
27552381 05 NM
institution
Provider Business Practice Location Address Details
Address
2900 Hillrise Drive
City
State
Zip
88011
Phone Number
505-695-1227
Fax Number
877-532-2113
person
Provider Business Mailing Address Details
Address
1180 Commerce Drive #14222
City
State
Zip
88011-8255
Phone Number
505-695-1227
Fax Number
877-532-2113
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine & OMM
Speciality
-
Taxonomy
License No.
()
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
A045921 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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