Individual
RICHARD E. GLASCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3396 N FUTRALL DR, SUITE 1, FAYETTEVILLE, AR 72703-4057
(479) 582-1938
(479) 587-0484
Mailing address
3396 N FUTRALL DR, SUITE 1, FAYETTEVILLE, AR 72703-4057
(479) 582-1938
(479) 587-0484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C00353
AR
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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