Individual
GLEN DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
3261 24TH AVE NW STE 101, NORMAN, OK 73069-6666
(405) 364-6432
(405) 364-0090
Mailing address
500 E ROBINSON ST, SUITE 2600, NORMAN, OK 73071-6697
(405) 364-6432
(405) 364-0090
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0068622
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200053800A
—
OK
Enumeration date
10/12/2006
Last updated
04/03/2026
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