Glenn Davin Haraway, DO
Internal Medicine in Tulsa, OK. Individual provider (NPI-1).
NPI number1679679062
StatusActive
Last updated in NPPESJan 13, 2020
Details
- NPI
- 1679679062
- Entity type
- Individual (NPI-1)
- Name
- Glenn Davin Haraway
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2006
- Certification date
- Jan 13, 2020
- Last updated
- Jan 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 3263 | OK | Yes |
Practice location
6901 S. Yorktown Ave., Suite CTulsa, OK 74136
Phone 918-701-2020 · Fax 866-314-4375
Mailing address
6901 S. Yorktown Ave., Suite CTulsa, OK 74136
Phone 918-701-2020 · Fax 866-314-4375
Other practice locations
7301 Rogers Ave
Fort Smith, AR 72903-4100
Fort Smith, AR 72903-4100
Phone 479-314-2804 · Fax 479-314-2807
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