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Individual

MR. GLENN DEAN CARLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
621 W PINE ST, POPLAR BLUFF, MO 63901-5042
(573) 686-4111
Mailing address
PO BOX 88, POPLAR BLUFF, MO 63902-0088
(573) 727-2724
(573) 727-2788

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2005036504
MO

Other

Enumeration date
09/25/2007
Last updated
04/26/2026
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