Glenn Riego Puertollano, MD

NPI #1679544381 in Stanton, Kentucky

Provider Information

NPI Number: 1679544381
Entity Type: Individual
Name: Glenn Riego Puertollano, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Jan 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 321C EAST COLLEGE AVE
Address 2: RED RIVER HEALTH CARE
City: Stanton
State: Kentucky
ZIP Code: 40380
Phone: (606) 663-9797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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Organizations

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