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Individual

DR. CHRISTOPHER C GLASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 683-3720
(270) 686-7331
Mailing address
2801 NEW HARTFORD RD, OWENSBORO, KY 42303-1320
(270) 683-3720
(270) 686-7331

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01046162
IN
208600000X
Surgery Physician
Primary
29587
KY
2086S0129X
Vascular Surgery Physician
01046162
IN
2086S0129X
Vascular Surgery Physician
29587
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000048411
ANTHEM
KY
01
020034764
RAILROAD MEDICARE
01
100329290
MOLINA
IN
05
100329290
IN
01
611059472
DART
KY
01
611059472
UMWA
01
6110594722108
CARESOURCE
IN
05
64295876
KY
Enumeration date
07/26/2005
Last updated
05/14/2019
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