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John S McGlothlen, CRNA

Specialist in Altus, OK. Individual provider (NPI-1).

NPI number1790777563
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1790777563
Entity type
Individual (NPI-1)
Name
Mr. John S McGlothlen
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 18, 2005
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistR0031880OKYes

Practice location

1200 E Pecan St
Altus, OK 73521-6141

Phone 580-477-7243

Mailing address

937 N Cowboy Canyon Dr
Green Valley, AZ 85614-5546

Phone 520-398-7481

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