Organization
ALDEN B GLIDDEN MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALDEN B. GLIDDEN M.D. (OWNER)
(541) 882-8823
Entity
Organization
Contact information
Practice address
2680 UHRMANN RD STE B, KLAMATH FALLS, OR 97601-1174
(541) 882-8823
(541) 883-6481
Mailing address
2680 UHRMANN RD STE B, KLAMATH FALLS, OR 97601-1174
(541) 882-8823
(541) 883-6481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR7620
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274623
—
OR
Enumeration date
03/12/2007
Last updated
10/14/2007
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