Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN IVAN BASCON, DO
Active Sole ProprietorGLENN IVAN BASCON, DO is a Student (Health Education/Training) healthcare provider located in FORT EISENHOWER, Georgia. NPI 1821888744 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · FORT EISENHOWER, GA
Registration Details
- NPI Number
- 1821888744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2025 (1.2282856550377 yrs)
- Last Updated
- Jul 10, 2025
- License
-
17475 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER300 EAST HOSPITAL ROADFORT EISENHOWER, GA, 309055650Browse GA providers · Browse ZIP 30905
- Phone
- 7067879399
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in FORT EISENHOWER, GA
| Name | Credential | NPI |
|---|---|---|
| LEILANI LOPES-HASLAM | DO | 1235842444 |
| STORM LOFFA | — | 1336834712 |
| NIKOLAI MASHTALOV | — | 1164208310 |
| MAURICIO CARLOS URRUTIA | MD | 1457130254 |
| CHLOE CHAI | — | 1235993817 |
| TREY KOHR NETTLES | MD | 1477318921 |
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.