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

Mr. David Alexander Glenn Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1306103551

Mr. David Alexander Glenn Jr., IDC is an Independent Duty Corpsman in Gulfport, Mississippi. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

5501 Marvin Shields Blvd
Gulfport, MS 39501-9007
Phone: (228) 822-5061
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1306103551
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESApril 12, 2012

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