Provider Demographics
NPI:1033797063
Name:GLENN, CASEY SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:SCOTT
Last Name:GLENN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:231 ALBERT SABIN WAY
Mailing Address - Street 2:MSB 1654, ML 0769 UC EMERGENCY MEDICINE
Mailing Address - City:CINCINATTI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0769
Mailing Address - Country:US
Mailing Address - Phone:513-558-5281
Mailing Address - Fax:513-558-5791
Practice Address - Street 1:234 GOODMAN STREET
Practice Address - Street 2:CENTER FOR EMERGENCY CARE
Practice Address - City:CINCINATTI
Practice Address - State:OH
Practice Address - Zip Code:45219-0796
Practice Address - Country:US
Practice Address - Phone:513-558-5281
Practice Address - Fax:513-558-5791
Is Sole Proprietor?:No
Enumeration Date:2021-03-31
Last Update Date:2024-05-01
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Provider Licenses
StateLicense IDTaxonomies
OH35.150021207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine