Individual
MRS. ERIN BELANGER GLOMSET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5606 SW LEE BLVD STE 201, LAWTON, OK 73505-9651
(580) 699-3000
Mailing address
915 SW 79TH ST, LAWTON, OK 73505-6427
(985) 860-2642
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2165
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165046
—
OK
Enumeration date
09/21/2011
Last updated
05/27/2016
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