Individual
DR. GLEN HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 5TH ST, SIOUX CITY, IA 51101-1394
(712) 279-2010
Mailing address
PO BOX 310047, DES MOINES, IA 50331-0047
(888) 398-6437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27021
IA
207Q00000X
Family Medicine Physician
27021
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130468
—
IA
01
—
24224
MIDLANDS CHOICE
—
01
—
33034
WELLMARK BCBS
—
01
—
421344575
CHAMPUS
—
05
—
7701190
—
SD
Enumeration date
06/23/2006
Last updated
07/26/2012
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