Michael L Glass MD INC
Independent Medical Examiner in Edmond, OK. Organization (NPI-2).
NPI number1851412878
StatusActive
Last updated in NPPESNov 26, 2007
Details
- NPI
- 1851412878
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael L Glass MD INC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2007
- Last updated
- Nov 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 202C00000X | Independent Medical Examiner | 11886 | OK | Yes |
Practice location
3815 S Boulevard StEdmond, OK 73013-5479
Phone 405-341-9996 · Fax 405-330-3566
Mailing address
3815 S Boulevard StEdmond, OK 73013-5479
Phone 405-341-9996 · Fax 405-330-3566
Authorized official
Michael L Glass
President
4053419996
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