Search › Arizona › 208000000X
Glen Austin, D.O
NPI 1528155082 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1501 S Yale St
Ste# 252
Flagstaff, AZ 86001 - Phone
- (928) 774-1811
- Fax
- (928) 774-2001
- Organisation at this address
- Naz Mua Llc
Lhcg Lxxvii, Llc
Elite Uc Care Llc
Proforma Health Pllc
Munderloh Medical LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona