Glen Gabrielson

NPI #1427210491 in Dothan, Alabama

Provider Information

NPI Number: 1427210491
Entity Type: Organization
Organization Name: Glen Gabrielson
Primary Specialty: Family Medicine
Enumeration Date: Jun 30, 2008
Last Updated: Sep 19, 2008

Practice Location

Address: 1891 HONEYSUCKLE RD
Address 2: STE 2
City: Dothan
State: Alabama
ZIP Code: 36305-4290
Phone: (334) 794-6504

Authorized Official

Name: DR. GLEN A GABRIELSON, MD
Title: PHYSICIAN/OWNER
Phone: (334) 794-6504

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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