Individual provider · Type 1 NPI

Glenn Ivan Bascon, DO

Student in an Organized Health Care Education/Training Program · Fort Eisenhower, GA

NPI number 1821888744 Active

Practice location

Dwight David Eisenhower Army Medical Center, 300 East Hospital Road
Fort Eisenhower, GA 30905-5650

Call (706) 787-9399 Map

Mailing address

300 East Hospital Road
Fort Eisenhower, GA 30905

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X17475 (GA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821888744

Glenn Ivan Bascon, DO's National Provider Identifier is 1821888744, issued on May 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Eisenhower, GA. The record was last updated on Jul 10, 2025.