Individual
GLEN EDWARD DIACON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 ARLINGTON ST, SUITE 2300, ADA, OK 74820-2643
(580) 332-0112
(580) 332-1005
Mailing address
1414 ARLINGTON ST, SUITE 2300, ADA, OK 74820-2643
(580) 332-0112
(580) 332-1005
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16231
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137260A
—
OK
Enumeration date
09/13/2005
Last updated
08/11/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us