IndividualActive
George Glenn, CCP
NPI 1730500141 · Perfusionist · Hazelwood, MO
Provider details
- NPI number
- 1730500141
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 199140713 (MO)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Technologists, Technicians & Other Technical Service Providers
Practice location
7220 N Lindbergh Blvd
Hazelwood, MO 63042-2019
Phone: (314) 838-8000
Fax: (314) 838-8304
Approximate (ZIP-level) locationGet directions
Mailing address
1812 Partridge Pl
Edwardsville, IL 62025-5512
Registry dates
- Enumerated
- 2014-01-02
- Last updated
- 2014-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.