Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY CHRISTOPHER GLENNON II, PA
ActivePhysician Assistant · CASPER, WY
Registration Details
- NPI Number
- 1447286943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2006 (19.835070459031 yrs)
- Last Updated
- Jul 11, 2018
- Licenses
-
PA200064 (LA)TL556 (WY)
Practice Information
- Address
-
4140 CENTENNIAL HILLS BLVDSUITE ACASPER, WY, 82609Browse WY providers · Browse ZIP 82609
- Phone
- 3072657205
- Fax
- 3072356262
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CASPER, WY
| Name | Credential | NPI |
|---|---|---|
| DANIEL W. FEDORE | PA | 1902899230 |
| JENNIFER LYNN FRARY | PA-C | 1609862580 |
| ANN M HAACK | PA | 1629037130 |
| AARON C SCHILLING | PA | 1548215130 |
| WILLIAM R SHUGHART | PA-C | 1285673962 |
| JOANN RAMSEY | PA C | 1598792368 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.