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Organization
GLENN MCCLENDON DPM INC
Active
Organization
GLENN MCCLENDON DPM INC
Active
Other names
Glenn McClendon, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MCCLENDON DPM (PRESIDENT)
(501) 733-7374
Entity
Organization
Contact information
Practice address
2425 DAVE WARD DR STE 201, CONWAY, AR 72034-8680
(501) 504-2737
(501) 499-9890
Mailing address
2425 DAVE WARD DR STE 201, CONWAY, AR 72034-8680
(501) 504-2737
(501) 499-9890
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127342717
—
AR
Enumeration date
01/05/2021
Last updated
01/05/2021
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