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

GLENN KOESTER, M.D., P.C.

Active Organization

Procedural Dermatology · EDMOND, OK

Registration Details

NPI Number
1902930209
Provider Type
Organization
NPI Issued
Mar 16, 2007 (19.100736666101 yrs)
Last Updated
Aug 22, 2020
License
18783 (OK)

Practice Information

Address
3863 S BOULEVARD ST STE 200
EDMOND, OK, 730135540
Browse OK providers · Browse ZIP 73013
Phone
4052165444
Primary Specialty
Procedural Dermatology
207NS0135X

Other Procedural Dermatology Organizations in EDMOND, OK

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.