Individual
DR. RICHARD LEE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
100 E LINDA VISTA BLVD, ROSWELL, NM 88201-6654
(575) 623-2900
Mailing address
401 N UNION AVE, ROSWELL, NM 88201-3948
(575) 623-2900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
11204
TX
111N00000X
Chiropractor
Primary
1909
NM
Other
Enumeration date
07/14/2009
Last updated
07/10/2014
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