NPI 1457315533 · live from the CMS NPI Registry
Chris Glenn, MD
Radiology, Diagnostic Radiology in Anchorage, AK. National Provider Identifier 1457315533, active.
NPI record
| NPI | 1457315533 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 2741 Debarr Rd, Suite 401, Anchorage, AK 99508 |
| Practice phone | 907-792-7975 |
| Mailing address | Po Box 140349, Anchorage, AK 99514 |
| Enumerated | April 14, 2006 |
| Last updated | September 24, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | G79975 (CA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 8122 (AK) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 8122 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.