Individual
DR. ERIC MATTHEW GLENN
Active
Individual
DR. ERIC MATTHEW GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
203382
LA
208600000X
Surgery Physician
002508
GA
Other
Enumeration date
06/28/2007
Last updated
07/17/2012
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