Individual
JAMES DANIL GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
930 SW 9TH AVENUE, ALBANY, OR 97321
(541) 926-9611
(541) 926-6152
Mailing address
PO BOX 301558, DALLAS, TX 75303-1558
(866) 847-5072
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
098007052CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213482
—
OR
Enumeration date
07/18/2006
Last updated
06/04/2019
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