Individual
JOHN C GLASGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 S PARK LN, ALTUS, OK 73521-5718
(580) 379-6550
Mailing address
PO BOX 975, ALTUS, OK 73522-0975
(580) 482-2597
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10932
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100540A
—
OK
Enumeration date
05/12/2006
Last updated
12/09/2009
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