Individual
GARY GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6010 S MASON MONTGOMERY RD, MASON, OH 45040-3706
(513) 246-7000
(513) 204-6355
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36002779
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.002779
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116350
—
OH
01
—
480017995
RAILROAD MEDICARE
OH
Enumeration date
04/27/2006
Last updated
06/30/2015
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