Glenn M Koteen M.D., Llc in Bend - Medical Specialty
Glenn M Koteen M.D., Llc - NPI 1407021348
Glenn M Koteen M.D., Llc is a Medical Specialty in Bend, Oregon. Glenn M Koteen M.D., Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Glenn M Koteen M.D., Llc is 1407021348. The last update date is 2008-11-14.
Glenn M Koteen M.D., Llc's current location address is 2450 Ne Mary Rose Pl, Bend, Oregon. You can contact this provider via phone number 5417280535 and fax number 5416475125. The mailing address for Glenn M Koteen M.D., Llc is 2450 Ne Mary Rose Pl, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Glenn M Koteen M.D., Llc |
|---|---|
| Address | 2450 Ne Mary Rose Pl, Bend, Oregon |
| Phone Number | 5417280535 |
| Fax Number | 5416475125 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Koteen M Glenn |
| Credentials | MD |
| Telephone Number | 5417280535 |
NPI Number Detail
| NPI Number | 1407021348 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2008-11-14 |
Provider Mailing Address Detail
| Address | 2450 Ne Mary Rose Pl |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977017132 |
| Phone Number | 5417280535 |
| Fax Number | 5416475125 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
| Licence No | MD25338 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 120175 | OR | MEDICARE # | |
| 22737 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Glenn M Koteen M.D., Llc by the Centers for Medicare & Medicaid Services?
The Glenn M Koteen M.D., Llc has been assigned the NPI (National Provider Identifier) 1407021348. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Glenn M Koteen M.D., Llc's physical address?
The Glenn M Koteen M.D., Llc is physically located at 2450 Ne Mary Rose Pl, in the city of Bend, OR, with the postal code 977017132.
What is the Glenn M Koteen M.D., Llc's specialty and taxonomy code?
The Glenn M Koteen M.D., Llc's specialty is Medical Specialty, and the corresponding taxonomy code is 261Qm2500X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407021348 to Glenn M Koteen M.D., Llc?
The Centers for Medicare & Medicaid Services originally issued the 1407021348 to Glenn M Koteen M.D., Llc on 2008-04-22.
When was the information regarding Glenn M Koteen M.D., Llc most recently updated?
The details pertaining to the Glenn M Koteen M.D., Llc, including its address, specialty, and other relevant information, were last refreshed on 2008-11-14.