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Organization

GLEN H STRIBLING OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIRLEY A SHELTON (OFFICE MANAGER)
(601) 372-5914
Entity
Organization

Contact information

Practice address
5602 I 55 S, BYRAM, MS 39272-9402
(601) 372-5914
(601) 372-5921
Mailing address
5602 I 55 S, BYRAM, MS 39272-9402
(601) 372-5914
(601) 372-5921

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
516
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0276240002
MEDICARE DME
MS
Enumeration date
06/27/2008
Last updated
06/27/2008
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