Provider Demographics
NPI:1609889831
Name:GLAUBER, JAMES GIRARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GIRARD
Last Name:GLAUBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 955534
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-1850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6400 CLAYTON RD
Practice Address - Street 2:STE 302
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1850
Practice Address - Country:US
Practice Address - Phone:314-645-3432
Practice Address - Fax:314-645-3191
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO106832207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208053801Medicaid
A03372Medicare UPIN
MO208053801Medicaid