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NPI Code Detail

MEDICARE: DR. DENNIS N GLASCOCK DO

MEDICARE: DR. DENNIS N GLASCOCK 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
1207RC0000XCardiovascular Disease Physician2005015555MO
2207RC0001XClinical Cardiac Electrophysiology Physician2005015555MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7P00304610OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2201876OTHERMOBLUE PRODUCTS
3725773OTHERMOHEALTHLINK
44649526OTHERMOAETNA
5562517372OTHERMOUNITED HEALTHCARE
66407746OTHERMOCIGNA

General Provider Information

NPI Number : 1164424461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS N GLASCOCK DO
Provider Business Mailing Address
First Line : 211 SAINT FRANCIS DR STE 15
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-5049
Country : US
Telephone Number : 573-331-3333
Fax Number : 573-331-3333
Provider Business Practice Location Address
First Line : 211 SAINT FRANCIS DR STE 15
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63703-5049
Country : US
Telephone Number : 573-331-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/10/2022

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Directions to “ DR. DENNIS N GLASCOCK DO” Practice Location

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