Provider Demographics
NPI:1053801019
Name:MCGLONE, WILLIAM OTTIS III (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:OTTIS
Last Name:MCGLONE
Suffix:III
Gender:M
Credentials:DPM
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Mailing Address - Street 1:3901 DUTCHMANS LN STE 104
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4726
Mailing Address - Country:US
Mailing Address - Phone:502-496-4914
Mailing Address - Fax:502-459-7509
Practice Address - Street 1:3901 DUTCHMANS LN STE 104
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4726
Practice Address - Country:US
Practice Address - Phone:502-496-4914
Practice Address - Fax:502-459-7509
Is Sole Proprietor?:No
Enumeration Date:2018-05-15
Last Update Date:2024-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY243962213E00000X, 213ES0103X
IN07001357A213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist