GLENN BOGUS

SAINT LOUIS, MO
NPI1912027533
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2001006321)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
-- GLENN BOGUS NP
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110-1003
Phone number: 314-454-8134
Mailing Address
-- GLENN BOGUS NP
47 PORTLAND DR
FRONTENAC, MO 63131-3300
Phone number: 314-997-6173