GEORGE FLEMING GLENN

HAZELWOOD, MO
NPI1730500141
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy242T00000X Perfusionist
(Licence: MO  199140713)
Additional Taxonomies242T00000X Perfusionist
(Licence: IL  214.000313)
242T00000X Perfusionist
(Licence: WI  125-18)
Enumeration Date2014-01-02
Last Update Date2014-01-02
Business Address
GEORGE FLEMING GLENN CCP
7220 N LINDBERGH BLVD
HAZELWOOD, MO 63042-2019
Phone number: 314-838-8000
Mailing Address
GEORGE FLEMING GLENN CCP
1812 PARTRIDGE PL
EDWARDSVILLE, IL 62025-5512
Phone number: 314-443-1024