Individual
GLEN DEWAYNE HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12200 ASHFORD DR, YUKON, OK 73099-8762
(405) 283-9000
(405) 283-9025
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 283-9000
(405) 283-9025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20762
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096910D
—
OK
Enumeration date
07/29/2005
Last updated
03/21/2018
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