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 8 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
Remove 1407021348 NPI Number
 

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.

Sponsored links

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.