Organization
DRS GLENN & GLENN INC
Active
Other names
Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE B BANKS (TECHNICIAN)
(785) 483-2451
Entity
Organization
Contact information
Practice address
702 N KANSAS ST, RUSSELL, KS 67665-2043
(785) 483-2451
(785) 798-4986
Mailing address
702 N KANSAS ST, RUSSELL, KS 67665-2043
(785) 483-2451
(785) 798-4986
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11533
KS
Other
Enumeration date
04/04/2007
Last updated
06/02/2016
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