Individual
GLEN ALLEN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3308
(405) 951-8685
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 949-3308
(405) 951-8685
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20224
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003132110A
—
OK
Enumeration date
10/13/2005
Last updated
07/21/2017
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