Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN ACORD DEYO, MD
Active Sole ProprietorGLENN ACORD DEYO, MD is a General Surgery healthcare provider located in UNIVERSITY PLACE, Washington. NPI 1053421800 is currently active in the NPPES registry. Verify at CMS.
General Surgery · UNIVERSITY PLACE, WA
Registration Details
- NPI Number
- 1053421800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2006 (19.983335392724 yrs)
- Last Updated
- Aug 5, 2011
- License
-
MD00026258 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4521 82ND AVENUE CT WUNIVERSITY PLACE, WA, 984662325Browse WA providers · Browse ZIP 98466
- Phone
- 2533128336
- Fax
- 2534751185
- Primary Specialty
-
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.