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Contact Information

S VIC GLOGOVAC, MD
12255 DE PAUL DR
SUITE 165
BRIDGETON, MO63044-2510
 Phone: 314-291-7510
 Fax: 314-291-0001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2086S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for S VIC GLOGOVAC · (Male)

NPI # 1568499846
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2006
Last updated 01/31/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # R9513
  • MO Other 7672 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • SSM DEPAUL HEALTH CENTER - (Acute Care)
    12303 DEPAUL DRIVE
    BRIDGETON, MO 63044
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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