Organization
TACSS PLLC
Active
Other names
Caraid Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN KAY GLENN MD (OWNER)
(720) 820-9455
Entity
Organization
Contact information
Practice address
10103 RIDGEGATE PKWY STE 211, LONE TREE, CO 80124-5525
(720) 820-9455
(303) 736-4226
Mailing address
14100 E ARAPAHOE RD STE 260, CENTENNIAL, CO 80112-4048
(303) 699-3048
(303) 699-3047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR47517
CO
Other
Enumeration date
02/09/2015
Last updated
01/23/2023
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