| Dr Glenn C Stow Pllc | |
|
2304 N Harrison St Shawnee OK 74804-3135 | |
| (405) 273-0313 | |
| Not Available |
| Full Name | Dr Glenn C Stow Pllc |
|---|---|
| Speciality | General Practice |
| Location | 2304 N Harrison St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Glenn C Stow (PHYSICIAN) |
| Authorized Official Contact | 4052730313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn C Stow Pllc Po Box 268988 Oklahoma City OK 73126-8988 Ph: () - | Dr Glenn C Stow Pllc 2304 N Harrison St Shawnee OK 74804-3135 Ph: (405) 273-0313 |
| NPI Number | 1396924072 |
|---|---|
| Provider Enumeration Date | 10/30/2007 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396924072 | NPI | - | NPPES |
| 100101260E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20824 (Oklahoma) | Primary |
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