Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Halvorson MD PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1982067179

Glen Halvorson MD PLLC is a Physical Medicine & Rehabilitation Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4550 E Bell Rd Ste 150
Phoenix, AZ 85032-9306
Phone: (602) 795-3649
Fax: (602) 795-3996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 13423 (AZ)

Record details

NPI number1982067179
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glen Halvorson — Owner · (602) 795-3649
NPI enumeratedApril 4, 2016
Last updated in NPPESFebruary 17, 2017
Mailing address4550 E Bell Rd, Ste 150, Phoenix, AZ 85032-9306

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