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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

NPI Number 1720676836
LBN Legal business name GLENN MCCLENDON DPM INC
Authorized official GLENN MCCLENDON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2021
Last updated 01/05/2021 - About 5 years ago
Identifiers
AR Medicaid 127342717
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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