Organization
GLENN MCCLENDON DPM INC
Active
Other names
Glenn McClendon, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN MCCLENDON DPM (PRESIDENT)
(501) 733-7374
Entity
Organization
Contact information
Practice address
2425 DAVE WARD DR STE 201, CONWAY, AR 72034-8680
(501) 504-2737
(501) 499-9890
Mailing address
2425 DAVE WARD DR STE 201, CONWAY, AR 72034-8680
(501) 504-2737
(501) 499-9890
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127342717
—
AR
Enumeration date
01/05/2021
Last updated
01/05/2021
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