Individual
DR. GLEN ALAN TOOMAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MEMORIAL DRIVE, PINEHURST RADIOLOGY, PINEHURST, NC 28374
(910) 295-4400
Mailing address
39 LASSWADE DR, PINEHURST, NC 28374-6703
(910) 420-2932
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200500271
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2073382A
MEDICARE
NC
01
—
2073382B
MEDICARE
NC
Enumeration date
03/27/2008
Last updated
08/30/2011
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