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Dr. Terrence Patrick Gleason, MD
Specialist in Lake Havasu City, Arizona
NPI 1740263953

Terrence Patrick Gleason is a Specialist based in Lake Havasu City, AZ. Terrence Patrick Gleason practices in Lake Havasu City, AZ and has the professional credentials of MD. The NPI Number for Terrence Patrick Gleason is 1740263953 and holds a License No. 24347 (Arizona).

The current practice location address for Terrence Patrick Gleason is 1810 Mesquite Ave, Lake Havasu City, AZ and can be reached out via phone at 928-855-8515 and via fax at 928-854-6206.

Location: 1810 Mesquite Ave, Lake Havasu City, AZ, 86403-5729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740263953
Provider Name
Terrence Patrick Gleason
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1810 Mesquite Ave, Lake Havasu City, AZ, 86403-5729
Phone Number
928-855-8515
Fax Number
928-854-6206
Provider Enumeration Date
11/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
351271 05 AZ
340012308 01 AZ RAILROAD MEDICARE ID
AZ0395470 01 AZ BC/BS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
1810 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5886
Phone Number
928-855-8515
Fax Number
928-854-6206
person
Provider Business Mailing Address Details
Address
1810 Mesquite Ave
City
Lake Havasu City
State
Arizona
Zip
86403-5886
Phone Number
928-855-8515
Fax Number
928-854-6206
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
24347 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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