| Doctor Name: | AMY J GLASER-CARPENTER |
| NPI Number: | 1801065651 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 11012971A |
| Business Practice Address: | 128 Market St Alamosa, CO - 811012290 |
| Business Phone Number: | 7195895161 |
| Business Fax Number: | 7195895722 |
| Mailing Address: | 233 Main Street, Suite B, SAN LUIS |
| State: | CO |
| Postal Code: | 81152 |
| Phone Number: | 7196723352 |
| Fax Number: | 7196723638 |
| NPI Enumeration Date: | 02/26/2008 |
| NPI Last Update Date: | 06/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 11012971A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy 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. |