Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | L1328 | TX |
Y | 2086S0127X | Trauma Surgeon | 2015020167 | MO |
N | 2086S0127X | Trauma Surgeon | L1328 | TX |
NPI | 1013941202 |
---|---|
Provider Name | Steven L Glorsky |
First Address | Kansas City, MO 64108-2602 |
Second Address | Kansas City, MO 64108-2640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 07/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144286505 | (05) | TX |
200335740 A | (05) | OK |
E73451 | (02) |