Individual provider · Type 1 NPI

Grayson Tyler Glenn, MD

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1952099723 Active

Practice location

4301 W Markham St # 837
Little Rock, AR 72205-7101

Call (501) 626-1876 Map

Mailing address

3400 S Bowman Rd Apt 1523
Little Rock, AR 72211-4672

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1952099723

Grayson Tyler Glenn, MD's National Provider Identifier is 1952099723, issued on Apr 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Apr 28, 2023.