Individual
DR. MATTHEW DAVID GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 SW LANE ST, SUITE 200, TOPEKA, KS 66606-1543
(785) 233-0500
(785) 233-0660
Mailing address
920 SW LANE ST, SUITE 200, TOPEKA, KS 66606-1543
(785) 233-0500
(785) 233-0660
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0429018
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100391250B
—
KS
01
—
102449
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/26/2006
Last updated
05/21/2008
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