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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLENN LYTLE, MD

Active

Family Medicine · BROKEN ARROW, OK

Registration Details

NPI Number
1194702167
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2005 (20.343956770532 yrs)
Last Updated
Oct 9, 2014
License
16019 (OK)

Practice Information

Address
3801 W UTICA ST
BROKEN ARROW, OK, 740111365
Browse OK providers · Browse ZIP 74011
Phone
9182861920
Fax
9182861920
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in BROKEN ARROW, OK

Name Credential NPI
DR. LEROY O. JESKE D.O. 1205839446
DR. BRYAN L. DALTON D.O. 1386647428
DR. TRACY L. ASHER D.O. 1366445405
DR. ATHENA C MASON D.O. 1437152774
COLIN A MAROUK D.O. 1861470841
LANDON D PRICE M.D. 1780663070
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.