Whalio Doctors

NPI 1730500141

George Fleming Glenn, CCP

Practitioner Perfusionist Hazelwood, MO

Practice location

Address
7220 N Lindbergh Blvd, Hazelwood, MO 63042-2019
Phone
(314) 838-8000
Fax
(314) 838-8304
Mailing address
1812 Partridge Pl, Edwardsville, IL 62025-5512

Registered specialties (3)

Perfusionist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 199140713 (MO)
Perfusionist
Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 214.000313 (IL)
Perfusionist
Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 125-18 (WI)

Registry record

NPI
1730500141
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jan 2014
Record last updated
2 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.