Individual
JOSEPHINE LEE AGUHOB GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3721 S GRAND BLVD, SAINT LOUIS, MO 63118-3405
(314) 328-0144
(314) 788-3021
Mailing address
3721 S GRAND BLVD, SAINT LOUIS, MO 63118-3405
(314) 328-0144
(314) 788-3021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015005800
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080150788
RR MEDICARE PIN NO
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64341589
—
KY
01
—
CB5773
RR MEDICARE GROUP
KY
Enumeration date
07/05/2006
Last updated
01/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us