Dr. Glenn D McClendon, DPM
Podiatrist in Conway, AR. Individual provider (NPI-1).
NPI number1265425656
StatusActive
Last updated in NPPESOct 7, 2020
Details
- NPI
- 1265425656
- Entity type
- Individual (NPI-1)
- Name
- Dr. Glenn D McClendon
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2005
- Certification date
- Oct 7, 2020
- Last updated
- Oct 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 140 | AR | Yes |
Practice location
2425 Dave Ward Dr Ste 1Conway, AR 72034-8686
Phone 501-504-2737 · Fax 501-499-9890
Mailing address
2425 Dave Ward Dr Ste 1Conway, AR 72034-8686
Phone 501-504-2737 · Fax 501-499-9890
Other practice locations
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