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Glen Roe
NPI 1912382300 · on the registry since 2015
Practice
- Address
- 1516 E 23rd St S Ste C
Independence, MO 64055 - Phone
- (816) 254-2700
- Fax
- (816) 254-2703
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 237700000X
237700000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-27
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 Missouri