Individual
DR. GLENNON JOSEPH FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 SOUTH NEW BALLAS RD, 231E, ST LOUIS, MO 63141-8747
(314) 414-2273
(314) 414-2273
Mailing address
777 SOUTH NEW BALLAS RD, 231E, ST LOUIS, MO 63141-8747
(314) 414-2273
(314) 414-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RIH06
MO
Other
Enumeration date
10/03/2006
Last updated
11/16/2010
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