Individual
DR. JOHN ELLIS GLANCY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1731 BRIGGS CHANEY ROAD, SILVER SPRING, MD 20905-5529
(301) 236-0505
Mailing address
1731 BRIGGS CHANEY ROAD, SILVER SPRING, MD 20905-5529
(301) 236-0505
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0025345
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0696
BLUECROSS/BLUE SHIELD DC
DC
05
—
373631800
—
MD
Enumeration date
06/16/2005
Last updated
01/13/2010
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