Individual
DR. RICHARD WAYNE GLASCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11639 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5802
(405) 691-8775
Mailing address
11639 S WESTERN AVE, OKLAHOMA CITY, OK 73170-5802
(405) 691-8775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2602
OK
Other
Enumeration date
08/06/2006
Last updated
07/08/2007
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