BYRON CORNELIUS GLENN NPI 1790156032

NPI Information

NPI: 1790156032
Provider Name: BYRON CORNELIUS GLENN

Doing Business As: CAPE URGENT CARE & FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1353 N MOUNT AUBURN RD
SUITE B
CAPE GIRARDEAU, MO
ZIP 63701
Phone: (573) 332-8400
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BYRON CORNELIUS GLENN is a primary care clinic center in Cape Girardeau, MO. BYRON CORNELIUS GLENN NPI is 1790156032. The provider is registered as an organization entity type.
The provider Is Doing Business As Cape Urgent Care & Family Medicine.

The provider's business location address is:

1353 N MOUNT AUBURN RD
SUITE B
CAPE GIRARDEAU, MO
ZIP 63701-727
Phone: (573) 332-8400
Fax: (573) 332-8151

The provider's authorized official is Byron C Glenn .
The authorized official title is Director and has the following contact phone number (573) 332-8400.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 1/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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