GLENN IVAN BASCON

FORT EISENHOWER, GA
NPI1821888744
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  17475)
Enumeration Date2025-05-12
Last Update Date2025-07-10
Business Address
GLENN IVAN BASCON DO
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER 300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905-5650
Phone number: 706-787-9399
Mailing Address
GLENN IVAN BASCON DO
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Phone number:
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