Provider Demographics
NPI:1689700262
Name:GLASGOW, JAMES PETER (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:GLASGOW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9701 DOUBLE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89134-6409
Mailing Address - Country:US
Mailing Address - Phone:702-604-8480
Mailing Address - Fax:702-319-4754
Practice Address - Street 1:8571 W LAKE MEAD BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7644
Practice Address - Country:US
Practice Address - Phone:702-360-5194
Practice Address - Fax:702-319-4754
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor