Organization
MICHAEL L GLASS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL L GLASS M.D. (PRESIDENT)
(405) 341-9996
Entity
Organization
Contact information
Practice address
3815 S BOULEVARD ST, EDMOND, OK 73013-5479
(405) 341-9996
(405) 330-3566
Mailing address
3815 S BOULEVARD ST, EDMOND, OK 73013-5479
(405) 341-9996
(405) 330-3566
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
11886
OK
Other
Enumeration date
04/03/2007
Last updated
11/26/2007
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