# DENNIS N GLASCOCK, DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619929726
- **Authorized official:** DENNIS N GLASCOCK D.O. (PRESIDENT/OWNER)
- **Authorized official phone:** (636) 916-5551

## Contact information

- **Practice address:** 330 1ST CAPITOL DR, STE 270, SAINT CHARLES, MO 63301-2835
- **Practice address phone:** (636) 916-5551
- **Mailing address:** 530 VANCE RD, VALLEY PARK, MO 63088-1527
- **Mailing address phone:** (636) 225-5445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | NULL | Yes |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 08/22/2020