Individual
GLEN ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1516 E 23RD ST S STE C, INDEPENDENCE, MO 64055-1601
(816) 254-2700
(816) 254-2703
Mailing address
1516 E 23RD ST S STE C, INDEPENDENCE, MO 64055-1601
(816) 254-2700
(816) 254-2703
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2015001134
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015001134
HEARING DISPENSER LICENSE
MO
Enumeration date
07/27/2015
Last updated
07/27/2015
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