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Individual
DR. GLEN D PHILO
Active
Individual
DR. GLEN D PHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2740687B
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000687
TUFTS
—
01
—
0501145Y0NH01
BCBS
—
05
—
30250158
—
NH
01
—
4404302
UNITED
—
01
—
52190
CIGNA
—
01
—
931603
AETNA
—
01
—
NA1719
HARVARD
—
Enumeration date
11/27/2006
Last updated
11/25/2014
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