Organization
PGP FAMILY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN ALAN GLOGAS M.D. (PRESIDENT)
(206) 478-9220
Entity
Organization
Contact information
Practice address
8607 TEMPLE DR, FORT WAYNE, IN 46809-3048
(260) 478-9220
(260) 478-9172
Mailing address
8607 TEMPLE DR, FORT WAYNE, IN 46809-3048
(260) 478-9220
(260) 478-9172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2005
Last updated
08/22/2020
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