Organization · Type 2 NPI
Byron Cornelius Glenn
Primary Care Clinic/Center · Cape Girardeau, MO
NPI number
1790156032
Active
Practice location
1353 N Mount Auburn Rd, Suite B
Cape Girardeau, MO 63701-1727
Fax (573) 332-8151
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
Other primary care clinic/center providers in Cape Girardeau
About NPI 1790156032
Byron Cornelius Glenn's National Provider Identifier is 1790156032, issued on Oct 13, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jan 29, 2016.