Mark S Glenn, OD

NPI #1689760886 in Russell, Kansas

Provider Information

NPI Number: 1689760886
Entity Type: Individual
Name: Mark S Glenn, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Oct 5, 2006
Last Updated: May 9, 2016

Practice Location

Address: 702 N KANSAS
City: Russell
State: Kansas
ZIP Code: 67665-0535
Phone: (785) 483-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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