Individual
POONEH HENDI GLASCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6297
Mailing address
PO BOX 5610, CEDAR RAPIDS, IA 52406-5610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36195
IA
207P00000X
Emergency Medicine Physician
Primary
A115487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457477242
BLUE SHIELD
IA
05
—
1457477242
—
IA
Enumeration date
03/22/2007
Last updated
10/20/2025
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