Glenn M Koteen M.d., Llc

NPI 1407021348 - Clinic/Center - 261QM2500X

NPI Details
NPI 1407021348
Enumeration Date 04/22/2008
Last Updated 11/14/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GLENN M GLENN
Position OWNER/PHYSICIAN
Phone (541) 728-0535
Fax (541) 647-5125
Practice Location
2450 NE MARY ROSE PL
STE 210
BEND OR, 97701-7132, US
Phone (541) 728-0535
Fax (541) 647-5125
Business Location
2450 NE MARY ROSE PL
STE 210
BEND OR, 97701-7132, US
Phone (541) 728-0535
Fax (541) 647-5125
Toxanomy
Taxonomy Code 261QM2500X
License State Oregon
License Number MD25338
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According to our database, Glenn M Koteen M.d., Llc NPI is 1407021348, taxonomy code is 261QM2500X and license number is MD25338, license state is located at Oregon. Glenn M Koteen M.d., Llc physically located at 2450 Ne Mary Rose Pl, Bend OR, 97701-7132. NPI Number 1033115704 has the healthcare provider type.

1407021348 NPI number is provided on an as is basis without warranty of any kind. 1407021348 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn M Koteen M.d., Llc are for informational purposes only.