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Individual

DR. JAMES ANTHONY GLENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
(405) 858-2365
Mailing address
2224 NW 50TH ST, SUITE 276W, OKLAHOMA CITY, OK 73112-8046
(405) 858-2350
(405) 858-2365

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4904
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/27/2009
Last updated
11/14/2014
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