GLEN DIACON JR., MD

Specialist

Active Individual
NPI: 1588659957

Practice Address

1414 ARLINGTON ST
SUITE 2300
Ada, OK 74820

Phone: (580) 332-0112

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 16231 (OK)

Frequently Asked Questions

NPI 1588659957 is the National Provider Identifier for GLEN DIACON JR., MD, a Specialist provider located in Ada, OK. This NPI was enumerated on September 13, 2005.
GLEN DIACON JR., MD practices at 1414 ARLINGTON ST, SUITE 2300, Ada, OK 74820.

Quick Facts

NPI
1588659957
Type
Individual
Enumerated
Sep 13, 2005
Last Updated
Aug 11, 2010

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