Organization
GARY L GLYNN DPM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY L GLYNN (DPM OWNER)
(513) 825-2224
Entity
Organization
Contact information
Practice address
6200 PLEASANT AVE, SUITE 3, FAIRFIELD, OH 45014-4670
(513) 829-9333
Mailing address
6200 PLEASANT AVE, SUITE 3, FAIRFIELD, OH 45014-4670
(513) 829-9333
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102556
—
OH
Enumeration date
03/16/2007
Last updated
07/23/2014
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