Organization
GLENN P HOOT MD PHD PS INC
Active
Other names
DBA Broadway Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN P HOOT MD PH.D (PRESIDENT)
(360) 533-5800
Entity
Organization
Contact information
Practice address
118 W 1ST ST, ABERDEEN, WA 98520-6215
(360) 532-3773
(360) 533-6545
Mailing address
118 W 1ST ST, ABERDEEN, WA 98520-6215
(360) 532-3773
(360) 533-6545
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD32157
WA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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