# DR. BRANDY NICOLE GLASCOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578884995
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036.132523 | IL | — |
| 207Q00000X | Family Medicine Physician | 2010018483 | MO | — |
| 207Q00000X | Family Medicine Physician | 2017007972 | MO | Yes |

## Other

- **Enumeration date:** 06/21/2010
- **Last updated:** 06/28/2023