| Byron Cornelius Glenn | |
|
1353 N Mount Auburn Rd Suite B Cape Girardeau MO 63701-1727 | |
| (573) 332-8400 | |
| (573) 332-8151 |
| Full Name | Byron Cornelius Glenn |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1353 N Mount Auburn Rd, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Byron C Glenn (DIRECTOR) |
| Authorized Official Contact | 5733328400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Cornelius Glenn 1353 N Mount Auburn Rd Suite B Cape Girardeau MO 63701-1727 Ph: (573) 332-8400 | Byron Cornelius Glenn 1353 N Mount Auburn Rd Suite B Cape Girardeau MO 63701-1727 Ph: (573) 332-8400 |
| NPI Number | 1790156032 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 01/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790156032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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