Provider Demographics
NPI:1568680163
Name:GALLASPY, GLENN TODD III (MD)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:TODD
Last Name:GALLASPY
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:3715 DAUPHIN STREET
Mailing Address - Street 2:SUITE 2-A
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608
Mailing Address - Country:US
Mailing Address - Phone:251-344-5265
Mailing Address - Fax:251-344-5321
Practice Address - Street 1:3715 DAUPHIN STREET
Practice Address - Street 2:SUITE 2-A
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-344-5265
Practice Address - Fax:251-344-5321
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2009-09-29
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Provider Licenses
StateLicense IDTaxonomies
TN41680207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics