Individual provider · Type 1 NPI

Beneranda Sophia Ford-Glanton, MD

Urology Physician · Belleville, IL

NPI number 1124229901 Active

Practice location

301 W Lincoln St Ste 201
Belleville, IL 62220-1901

Fax (618) 641-5813

Mailing address

301 West Lincoln Street, Suite 201
Belleville, IL 62220

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X036119047 (IL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1124229901

Beneranda Sophia Ford-Glanton, MD's National Provider Identifier is 1124229901, issued on May 30, 2007. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Belleville, IL. The record was last updated on Aug 23, 2017.