Glen Edward Diacon is a Specialist in Ada, Oklahoma. Glen Edward Diacon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Glen Edward Diacon is 1588659957. The last update date is 2010-08-11.
Glen Edward Diacon's current location address is 1414 Arlington St, Ada, Oklahoma. You can contact this provider via phone number 5803320112 and fax number 5803321005. The mailing address for Glen Edward Diacon is 1414 Arlington St, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Edward Diacon |
|---|---|
| Address | 1414 Arlington St, Ada, Oklahoma |
| Phone Number | 5803320112 |
| Fax Number | 5803321005 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588659957 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2010-08-11 |
Provider Mailing Address Detail
| Address | 1414 Arlington St |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 748202643 |
| Phone Number | 5803320112 |
| Fax Number | 5803321005 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16231 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100137260A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Glen Edward Diacon by the Centers for Medicare & Medicaid Services (CMS)?
The Glen Edward Diacon has been assigned the NPI (National Provider Identifier) 1588659957. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Glen Edward Diacon's physical address?
The Glen Edward Diacon is physically located at 1414 Arlington St, in the city of Ada, OK, with the postal code 748202643.
What is Glen Edward Diacon's area of expertise and its corresponding taxonomy classification?
The Glen Edward Diacon's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1588659957 assigned to Glen Edward Diacon?
The Glen Edward Diacon was issued its 1588659957 on 2005-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Glen Edward Diacon most recently updated or refreshed?
The details pertaining to the Glen Edward Diacon, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-11.