Glenn Acord Deyo MD

NPI 1053421800 - Surgery - 208600000X

NPI Details
NPI 1053421800
Gender Male
Enumeration Date 08/30/2006
Last Updated 08/05/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4521 82ND AVENUE CT W
UNIVERSITY PLACE WA, 98466-2325, US
Phone (253) 312-8336
Fax (253) 475-1185
Business Location
4521 82ND AVENUE CT W
UNIVERSITY PLACE WA, 98466-2325, US
Phone (253) 312-8336
Fax (253) 475-1185
Toxanomy
Taxonomy Code 208600000X
License State Washington
License Number MD00026258
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According to our database, Glenn Acord Deyo MD NPI is 1053421800, taxonomy code is 208600000X and license number is MD00026258, license state is located at Washington. Glenn Acord Deyo MD physically located at 4521 82nd Avenue Ct W, University Place WA, 98466-2325. NPI Number Glenn Acord Deyo MD has the Individual type.

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1053421800 NPI number is provided on an as is basis without warranty of any kind. 1053421800 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn Acord Deyo MD are for informational purposes only.