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

Glenn T. Etzel, MD

Individual provider Family Medicine Physician · NPI 1083727408

Glenn T. Etzel, MD is a Family Practice in Price, Utah. Graduated from Creighton University School of Medicine in 1980, 46 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
46
Trained at
Creighton University School of Medicine
Licensed in
UT
In the registry since
2006
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

230 N Hospital Dr Ste 5
Price, UT 84501-4221
Phone: (435) 637-9545
Fax: (435) 637-3423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 821690231205 (UT)

Record details

NPI number1083727408
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 17, 2006
Last updated in NPPESNovember 27, 2023
Certification dateFebruary 6, 2020
Mailing addressPo Box 882, Price, UT 84501-0882

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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