Individual
DR. TROY A. GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12800 S MEMORIAL DR STE D, BIXBY, OK 74008-2577
(918) 394-2767
(918) 394-2772
Mailing address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60148
CT
207QS0010X
Sports Medicine (Family Medicine) Physician
4764
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
60148
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200248750A
—
OK
Enumeration date
01/26/2007
Last updated
11/09/2018
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