Mcspadden, Glen F

Mcspadden, Glen F is an individual health care provider with primary practice located at 1101 Jackson St Sw , Gravette AR 72736-9121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mcspadden, Glen F can be contacted via phone (479) 787-5291.

Contact Information

Primary practice address
1101 Jackson St Sw Gravette AR 72736-9121
Phone: (479) 787-5291
Fax: (479) 344-6404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24242 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E4542 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E4542 Arkansas

Profile Details

NPI number 1487629150
LBN Legal business name Mcspadden, Glen F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Nov 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487629150 NPPES
Oklahoma MEDICAID 200052620A

Popular Providers