Individual
DR. GLENN LOPATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
517 S EUCLID AVE, DIV NEUROLOGY NEUROMUSCULAR, G FL, SAINT LOUIS, MO 63110-1007
(314) 362-1408
(314) 362-3752
Mailing address
660 S EUCLID AVE, CB 8111, SAINT LOUIS, MO 63110-1010
(314) 362-1408
(314) 362-3752
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R6J05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202721528
—
MO
Enumeration date
07/14/2006
Last updated
11/15/2021
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