Individual
DR. DENNIS N GLASCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 SAINT FRANCIS DR STE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
Mailing address
211 SAINT FRANCIS DR STE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2005015555
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2005015555
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201876
BLUE PRODUCTS
MO
05
—
207277203
—
MO
01
—
4649526
AETNA
MO
01
—
562517372
UNITED HEALTHCARE
MO
01
—
6407746
CIGNA
MO
01
—
725773
HEALTHLINK
MO
01
—
P00304610
RAILROAD MEDICARE
MO
Enumeration date
06/01/2005
Last updated
11/10/2022
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