Paul Boyd Glynn D.O.

NPI 1063425650 - Family Medicine - 207Q00000X

NPI Details
NPI 1063425650
Gender Male
Enumeration Date 08/14/2006
Last Updated 07/30/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
515 HUGH AVE
SPARTA MO, 65753-1220, US
Phone (417) 634-3000
Fax (417) 634-3001
Business Location
515 HUGH AVE
PO BOX 449
SPARTA MO, 65753-1220, US
Phone (414) 634-3000
Fax (417) 634-3001
Toxanomy
Taxonomy Code 207Q00000X
License State Missouri
License Number 36478
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According to our database, Dr. Paul Boyd Glynn D.O. NPI is 1063425650, taxonomy code is 207Q00000X and license number is 36478, license state is located at Missouri. Paul Boyd Glynn D.O. physically located at 515 Hugh Ave, Sparta MO, 65753-1220. NPI Number Paul Boyd Glynn D.O. has the Individual type.

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1063425650 NPI number is provided on an as is basis without warranty of any kind. 1063425650 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Boyd Glynn D.O. are for informational purposes only.