Timothy Christophe Glennon in Casper - Physician Assistant
Timothy Christophe Glennon - NPI 1447286943
Timothy Christophe Glennon is a Physician Assistant in Casper, . Timothy Christophe Glennon practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Timothy Christophe Glennon is 1447286943. The last update date is 2018-07-11.
Timothy Christophe Glennon's current location address is 4140 Centennial Hills Blvd, Casper, . You can contact this provider via phone number 3072657205 and fax number 3072356262. The mailing address for Timothy Christophe Glennon is 4140 Centennial Hills Blvd, Casper, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Christophe Glennon |
|---|---|
| Address | 4140 Centennial Hills Blvd, Casper, |
| Phone Number | 3072657205 |
| Fax Number | 3072356262 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1447286943 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2018-07-11 |
Provider Mailing Address Detail
| Address | 4140 Centennial Hills Blvd |
|---|---|
| City | Casper |
| State | (WY) |
| Post Code | 826093265 |
| Phone Number | 3072657205 |
| Fax Number | 3072356262 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA200064 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1363839 | LA | -- |
Post Comment/ Review Below
What is the Timothy Christophe Glennon's unique identification number?
The Timothy Christophe Glennon has been assigned the NPI (National Provider Identifier) Number 1447286943 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Timothy Christophe Glennon is physically located?
The Timothy Christophe Glennon is physically situated at the following address: 4140 Centennial Hills Blvd, Casper, WY, 826093265.
What is the Timothy Christophe Glennon's specialty and taxonomy code?
The Timothy Christophe Glennon's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1447286943 to Timothy Christophe Glennon?
The Timothy Christophe Glennon received its 1447286943 assignment from the Centers for Medicare & Medicaid Services on 2006-06-25.
When was the Timothy Christophe Glennon's information last updated?
The Timothy Christophe Glennon's information was last updated on 2018-07-11.