Individual
MR. GLENWOOD SHELTON STANCIL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NBC-HWC, RT(R)(CT)
Contact information
Practice address
6720 E HIGHWAY WW, COLUMBIA, MO 65201-8771
(573) 787-4600
Mailing address
6720 E HIGHWAY WW, COLUMBIA, MO 65201-8771
(573) 787-4600
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3986249
—
2471C3401X
Computed Tomography Radiologic Technologist
241732
—
2471C3402X
Radiography Radiologic Technologist
241732
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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