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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1588754873

Glen Allen Halvorson, MD is a Physical Medicine & Rehabilitation Physician in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona, California, Colorado and Nevada.

Licensed in
AZ, CA, CO, NV
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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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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Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 13423 (AZ)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence G75477 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 47769 (CO)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 13342 (NV)

Record details

NPI number1588754873
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 15, 2006
Last updated in NPPESFebruary 17, 2017

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