| T. Donet Glasscock, D.o. | |
|
401 12th Street Ext Princeton WV 24740-2300 | |
| (304) 431-5041 | |
| (304) 425-6121 |
| Full Name | T. Donet Glasscock, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 401 12th Street Ext, Princeton, West Virginia |
| Authorized Official Name and Position | Telitha Donet Glasscock (OWNER) |
| Authorized Official Contact | 3044315041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Donet Glasscock, D.o. 401 12th Street Ext Princeton WV 24740-2300 Ph: (304) 431-5041 | T. Donet Glasscock, D.o. 401 12th Street Ext Princeton WV 24740-2300 Ph: (304) 431-5041 |
| NPI Number | 1487785960 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487785960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1715 (West Virginia) | Primary |
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