Organization
JEFFREY S GLASER MD FACS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT GLASER MD (PRESIDENT)
(636) 561-6701
Entity
Organization
Contact information
Practice address
10890 VETERANS MEMORIAL PKWY, LAKE ST LOUIS, MO 63367-1475
(636) 561-6701
(636) 625-1601
Mailing address
10890 VETERANS MEMORIAL PKWY, LAKE ST LOUIS, MO 63367-1475
(636) 561-6701
(636) 625-1601
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
11/13/2014
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