Organization
GLACIER HEALTHCARE, LLC
Active
Other names
Advanced Surgical Healthcare, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD EMERY HUFFMYER (PRESIDENT)
(405) 285-8900
Entity
Organization
Contact information
Practice address
416 W. 15TH STREET, BUILDING 400, SUITE B, EDMOND, OK 73013-3688
(405) 285-8900
(405) 285-8921
Mailing address
416 W 15TH ST, BUILDING 400, SUITE B, EDMOND, OK 73013-3747
(405) 285-8900
(405) 285-8921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
10/27/2011
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