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Individual

DR. JAMES ALDEN GLASGOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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
01
CR0998
PALMETTO GBA - RAILROAD M
OK
Enumeration date
08/29/2006
Last updated
12/17/2010
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