Most Relevant Information
Provider Data
| NPI Number: | 1003565904 |
| Provider Name: | ILLYA GLAZUNOV DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 6213 |
Most Important Dates
| Enumeration Date: | 03/20/2022 |
| Last Updated: | 03/20/2022 |
Provider Practice Location
2625 QUEEN AVE SE
ALBANY
OR
973226863
Practice Location Phone/Fax
| Phone: | 5419288266 |
| Fax: |
Provider Mailing Location
2828 LUCIA CT NW
ALBANY
OR
973211194
Provider Mailing Phone/Fax
| Phone: | 5039535647 |
| Fax: |