Individual
GLENN ROLAND STOCKBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3912 TANGLEWOOD LANE, ODESSA, TX 79762-7165
(432) 367-9944
(432) 368-7600
Mailing address
3912 TANGLEWOOD LANE, ODESSA, TX 79762-7165
(432) 367-9944
(432) 368-7600
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TX1201
TX
Other
Enumeration date
08/30/2006
Last updated
04/14/2008
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