Individual provider · Type 1 NPI

Richard E. Glascock, CRNA

Specialist · Fayetteville, AR

NPI number 1184649758 Active

Practice location

3396 N Futrall Dr, Suite 1
Fayetteville, AR 72703-4057

Call (479) 582-1938 Map

Fax (479) 587-0484

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC00353 (AR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1184649758

Richard E. Glascock, CRNA's National Provider Identifier is 1184649758, issued on Jul 13, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fayetteville, AR. The record was last updated on Jul 8, 2007.