Ashley Elizabeth Glenn PAC

NPI 1093795114 - Physician Assistant - 363A00000X

NPI Details
NPI 1093795114
Gender Female
Enumeration Date 01/17/2006
Last Updated 01/26/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
1127 S GEORGE NIGH EXPY
MCALESTER OK, 74501-7143, US
Phone (918) 423-8440
Fax
Business Location
1127 S GEORGE NIGH EXPY
MCALESTER OK, 74501-7143, US
Phone (918) 423-8440
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Oklahoma
License Number 1511
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According to our database, Ashley Elizabeth Glenn PAC NPI is 1093795114, taxonomy code is 363A00000X and license number is 1511, license state is located at Oklahoma. Ashley Elizabeth Glenn PAC physically located at 1127 S George Nigh Expy, Mcalester OK, 74501-7143. NPI Number Ashley Elizabeth Glenn PAC has the Individual type.

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1093795114 NPI number is provided on an as is basis without warranty of any kind. 1093795114 is maintained by the National Plan & Provider Enumeration System. The contents of Ashley Elizabeth Glenn PAC are for informational purposes only.