Glenn Alan Koester in Edmond - Procedural Dermatology
Glenn Alan Koester - NPI 1790892461
Glenn Alan Koester is a Procedural Dermatology in Edmond, Oklahoma. Glenn Alan Koester practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Glenn Alan Koester is 1790892461. The last update date is 2013-07-19.
Glenn Alan Koester's current location address is 3863 S. Boulevard, Edmond, Oklahoma. You can contact this provider via phone number 4052165444 and fax number 4052165445. The mailing address for Glenn Alan Koester is 3863 S. Boulevard, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Alan Koester |
|---|---|
| Address | 3863 S. Boulevard, Edmond, Oklahoma |
| Phone Number | 4052165444 |
| Fax Number | 4052165445 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790892461 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2013-07-19 |
Provider Mailing Address Detail
| Address | 3863 S. Boulevard |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 73034 |
| Phone Number | 4052165444 |
| Fax Number | 4052165445 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 18783 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100152170B | OK | -- |
Post Comment/ Review Below
What is the Glenn Alan Koester's 1790892461?
The Glenn Alan Koester's NPI (National Provider Identifier) Number is 1790892461. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Glenn Alan Koester is geographically located?
The Glenn Alan Koester is physically situated at the following location: 3863 S. Boulevard, Edmond, OK, 73034.
What is the area of specialization for Glenn Alan Koester, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Glenn Alan Koester is Procedural Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207Ns0135X.
On what date was the 1790892461 assigned to Glenn Alan Koester?
The Glenn Alan Koester was issued its 1790892461 on 2006-08-25, 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 Glenn Alan Koester most recently updated or refreshed?
The details pertaining to the Glenn Alan Koester, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-19.