Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

George Fleming Glenn, CCP

Individual provider Perfusionist · NPI 1730500141

George Fleming Glenn, CCP is a Perfusionist in Hazelwood, Missouri. Practices as a sole proprietor. Licensed in Illinois, Missouri and Wisconsin.

Licensed in
IL, MO, WI
In the registry since
2014
Specialties on file
3

Practice location Address checks out

7220 N Lindbergh Blvd
Hazelwood, MO 63042-2019
Phone: (314) 838-8000
Fax: (314) 838-8304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence 199140713 (MO)
Perfusionist Taxonomy 242T00000X · Licence 214.000313 (IL)
Perfusionist Taxonomy 242T00000X · Licence 125-18 (WI)

Record details

NPI number1730500141
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedJanuary 2, 2014
Last updated in NPPESJanuary 2, 2014
Mailing address1812 Partridge Pl, Edwardsville, IL 62025-5512