Individual
GLENN ROBERT OTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3119 WASHINGTON AVE, ALTON, IL 62002-5473
(618) 463-9490
(618) 463-9491
Mailing address
3119 WASHINGTON AVE, ALTON, IL 62002-5473
(618) 463-9490
(618) 463-9491
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2946
IL
Other
Enumeration date
01/24/2008
Last updated
08/23/2013
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