Search › Mississippi › 1710I1002X
David Glenn, IDC
NPI 1306103551 · on the registry since 2012
Practice
- Address
- 5501 Marvin Shields Blvd
Gulfport, MS 39501 - Phone
- (228) 822-5061
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Sex
- Male
- Record last updated
- 2012-04-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi