Organization
VASCULAR INSTITUTE AT DEPAUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA S. GLASER M.D. (SURGEON)
(314) 770-0991
Entity
Organization
Contact information
Practice address
12266 DEPAUL DR., SUITE 315, BRIDGETON, MO 63044
(314) 770-0991
(314) 770-0692
Mailing address
12266 DEPAUL DR., SUITE 315, BRIDGETON, MO 63044
(314) 770-0991
(314) 770-0692
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
09/13/2006
Last updated
11/20/2007
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