Glen Edward Diacon JR. MD

  • NPI 1588659957
According to our database, the NPI number for Glen Edward Diacon JR. MD is 1588659957 and activated since 18 years ago. Glen Edward Diacon JR. MD is an individual provider who specializes in Specialist, and the primary practice location is 1414 Arlington St, Ada, OK 74820. You can also contact Glen Edward Diacon JR. MD via telephone number is (580) 332-0112. Provider NPI information was last updated on 08/11/2010.

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Overview of Glen Edward Diacon JR. MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/13/2005
  • Last updated: 08/11/2010

Primary Scrop of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 16231
  • License State: OK

Provider Mailing Address

  • Address: 1414 Arlington St
    Suite 2300
    Ada, OK 74820
  • Phone: 580-332-0112
  • Fax: 580-332-1005

Provider Practice Location

  • Address: 1414 Arlington St
    Suite 2300
    Ada, OK 74820
  • Phone: 580-332-0112
  • Fax: 580-332-1005

Scope of Practice

  • Taxonomy Code: 174400000X
  • Specialty: Specialist
  • License Number: 16231
  • License State: OK
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 100137260A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: OK
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Glen Edward Diacon JR. MD?
  • A: The npi number for Glen Edward Diacon JR. MD is 1588659957.
  • Q: What are Glen Edward Diacon JR. MD's specialties?
  • A: Glen Edward Diacon JR. MD's specialties are Specialist and different specialities.
  • Q: What is the medical license for Glen Edward Diacon JR. MD?
  • A: The medical license number for Glen Edward Diacon JR. MD is 16231 and issued in OK in USA.
  • Q: Where is Glen Edward Diacon JR. MD practice location?
  • A: Glen Edward Diacon JR. MD is practicing at 1414 Arlington St, Ada, OK 74820.
  • Q: How to contact Glen Edward Diacon JR. MD?
  • A: You can contact Glen Edward Diacon JR. MD via 580-332-0112.