Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN EDWARD DIACON JR., MD
Active Sole ProprietorGLEN EDWARD DIACON JR., MD is a Specialist healthcare provider located in ADA, Oklahoma. NPI 1588659957 is currently active in the NPPES registry. Verify at CMS.
Specialist · ADA, OK
Registration Details
- NPI Number
- 1588659957
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 13, 2005 (20.774191486957 yrs)
- Last Updated
- Aug 11, 2010
- License
-
16231 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1414 ARLINGTON STSUITE 2300ADA, OK, 748202643Browse OK providers · Browse ZIP 74820
- Phone
- 5803320112
- Fax
- 5803321005
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in ADA, OK
| Name | Credential | NPI |
|---|---|---|
| DR. TERRENCE H BORING | MD | 1487654836 |
| TAWFIK RAMADAN | MD | 1548252299 |
| DR. DONALD WESLEY DAVIES | MD | 1730214578 |
| MR. LARRY PAUL PENWRIGHT JR. | HIS | 1609909142 |
| MR. JASON LEE PRATHER | ATC | 1932221793 |
| MRS. DEBRA J COX | IBCLC,RLC | 1013190529 |
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.