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Contact Information

GLENN MCCLENDON DPM INC
2425 DAVE WARD DR STE 201
CONWAY, AR72034-8680
 Phone: 501-504-2737
 Fax: 501-499-9890
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GLENN MCCLENDON DPM INC · (Female)

NPI # 1720676836
Status Active
Credentials
Entity Individual
Enumeration date 01/05/2021
Last updated 01/05/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 127342717
Hospital affiliation(s) Not Available
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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