Dr. S Vic Glogovac
Surgery of the Hand
12255 De Paul Dr Suite 165
Bridgeton
, Missouri 63044-2510
Dr. S Vic Glogovac
Surgery of the Hand
12255 De Paul Dr Suite 165
Bridgeton
, Missouri 63044-2510
(314) 291-0001
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Dr. S Vic Glogovac
- 12255 De Paul Dr Suite 165
- Bridgeton, MO
- Zip : 63044-2510
- Fax : (314) 291-0001
- Phone : (314) 291-7510
Second Address
- Dr. S Vic Glogovac
- 12255 De Paul Dr Suite 165
- Bridgeton, MO
- Zip : 63044-2510
- Fax : (314) 291-0001
- Phone : (314) 291-7510
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Is Dr. S Vic Glogovac a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | R9513 | MO |
National Provider Identifier
| NPI | 1568499846 |
|---|---|
| Provider Name | Dr. S Vic Glogovac |
| First Address | Bridgeton, MO 63044-2510 |
| Second Address | Bridgeton, MO 63044-2510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 31/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 7672 | BLUE CROSS BLUE SHIELD (01) | MO |
| A24331 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.