Individual
AARON DEAN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
(660) 686-2618
Mailing address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
(660) 686-2618
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2019007056
MO
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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