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Individual

CHRISTOPHER GLOCK

Active
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Individual

CHRISTOPHER GLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R6195
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
R6195
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000374076
ANTHEM
01
036096337
ILLINOIS PUBLIC AID
IL
05
200531820A
IN
05
200531820T
IN
01
2477674
CIGNA
01
351904269199
CARESOURCE
01
464996
HEALTHLINK
01
5518300
AETNA ASSIGNED
01
N304553
HARMONY HEALTH PLAN IND
01
P00268084
RAILROAD MCARE PALAMETTO
Enumeration date
08/21/2006
Last updated
08/24/2020
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