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NPI Code Detail

MEDICARE: SARAH GLYNN DO

MEDICARE: SARAH GLYNN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1023696622
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH GLYNN DO
Provider Business Mailing Address
First Line : PO BOX 846266
Second Line :
City : LOS ANGELES
State : CA
Zip : 90084-6266
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6501 E 2ND ST
Second Line :
City : CASPER
State : WY
Zip : 82609-4293
Country : US
Telephone Number : 307-235-5433
Fax Number : 307-233-4700
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2021
Last Update Date : 06/10/2026

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Directions to “ SARAH GLYNN DO” Practice Location

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