Organization
JANICE S. GLENN, M.D. AMPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE S GLENN M.D. (PRESIDENT)
(504) 391-1087
Entity
Organization
Contact information
Practice address
2600 BELLE CHASSE HIGHWAY STE 201A, GRETNA, LA 70056-7156
(504) 391-1087
(504) 391-1073
Mailing address
2600 BELLE CHASSE HIGHWAY STE 201A, GRETNA, LA 70056-7156
(504) 391-1087
(504) 391-1073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.08593R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1910104
—
LA
Enumeration date
02/02/2007
Last updated
08/22/2020
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