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Dr. Tristan David Glenn, DO
Student in an Organized Health Care Education/Training Program in Kirksville, Missouri
NPI 1437882099

Tristan David Glenn is a Student in an Organized Health Care Education/Training Program based in Peaks Island, MO. Tristan David Glenn practices in Kirksville, MO and has the professional credentials of DO. The NPI Number for Tristan David Glenn is 1437882099 and holds a License No. (Missouri).

The current practice location address for Tristan David Glenn is 315 S Osteopathy Ave, Kirksville, MO and can be reached out via phone at 660-785-1000.

Location: 315 S Osteopathy Ave, Kirksville, MO, 04108-1435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437882099
Provider Name
Tristan David Glenn
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
315 S Osteopathy Ave, Kirksville, MO, 04108-1435
Phone Number
660-785-1000
Fax Number
Provider Enumeration Date
07/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 S Osteopathy Ave
City
Kirksville
State
Missouri
Zip
63501-6401
Phone Number
660-785-1000
Fax Number
person
Provider Business Mailing Address Details
Address
315 S Osteopathy Ave
City
Kirksville
State
Missouri
Zip
63501-6401
Phone Number
660-785-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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