Individual
CHRISTINE M GLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
2011014316
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952694796
—
CO
Enumeration date
05/26/2011
Last updated
08/28/2015
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