Individual
DR. JOHN EDWARD GLODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E 20TH ST STE A, CHEYENNE, WY 82001-3979
(307) 773-1304
Mailing address
930 RANGER DR, CHEYENNE, WY 82009-2535
(307) 773-1304
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12361
NE
207RC0000X
Cardiovascular Disease Physician
Primary
4442A
WY
207RC0000X
Cardiovascular Disease Physician
DR-19261
CO
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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