Individual
THOMAS P. GLYNN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3000
Mailing address
35 S 8TH ST, RICHMOND, IN 47374-5441
(765) 966-2929
(765) 966-2845
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01028848
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319730
—
IN
Enumeration date
04/27/2006
Last updated
02/12/2010
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