Individual
DR. GLENN ORTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
950 S OCTORARA TRL, PARKESBURG, PA 19365
(610) 857-6639
(610) 857-6649
Mailing address
950 S OCTORARA TRL, PARKESBURG, PA 19365-2100
(610) 857-6639
(610) 857-6649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005509L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007004370
—
PA
Enumeration date
11/17/2006
Last updated
06/29/2018
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