Organization
JAMES A GLASGOW M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALDEN GLASGOW M.D. (PRESIDENT)
(580) 436-5130
Entity
Organization
Contact information
Practice address
325 N MONTE VISTA ST, ADA, OK 74820-4607
(580) 436-5130
(580) 436-1103
Mailing address
325 N MONTE VISTA ST, ADA, OK 74820-4607
(580) 436-5130
(580) 436-1103
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
11790
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100480A
—
OK
01
—
731157038001
BCBS
OK
Enumeration date
04/13/2007
Last updated
12/17/2010
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