Individual
DR. BYRON CORNELIUS GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1353 N MOUNT AUBURN RD, SUITE B, CAPE GIRARDEAU, MO 63701-1723
(573) 332-8400
(573) 332-8151
Mailing address
1353 N MOUNT AUBURN RD, SUITE B, CAPE GIRARDEAU, MO 63701-1723
(573) 332-8400
(573) 332-8151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108285
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208155044
—
MO
Enumeration date
08/24/2007
Last updated
09/01/2016
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