Glenpool Family Clinic a Prof Corp

NPI #1003949694 in Glenpool, Oklahoma

Provider Information

NPI Number: 1003949694
Entity Type: Organization
Organization Name: Glenpool Family Clinic a Prof Corp
Primary Specialty: Family Medicine
Enumeration Date: Mar 13, 2007
Last Updated: May 27, 2009

Practice Location

Address: 14226 SO ELM
City: Glenpool
State: Oklahoma
ZIP Code: 74033-3525
Phone: (918) 322-9510

Authorized Official

Name: DR. DANIEL CRAIG MARTIN, D.O.
Title: OWNER AND OPERATOR
Phone: (918) 322-9510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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