Organization · Type 2 NPI
Glenn Crowson MD Inc
Rural Health Clinic/Center · Wewoka, OK
NPI number
1033103452
Active
Practice location
1401 W 1st St
Wewoka, OK 74884-5097
Fax (405) 257-6908
Mailing address
PO Box 1093
Wewoka, OK 74884-1093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 13854 (OK) |
| Rural Health Clinic/Center Primary | 261QR1300X | 13854 (OK) |
| Nurse Practitioner | 363L00000X | R0073222 (OK) |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
Other rural health clinic/center providers in Wewoka
About NPI 1033103452
Glenn Crowson MD Inc's National Provider Identifier is 1033103452, issued on Aug 31, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Wewoka, OK. The record was last updated on Jun 11, 2015.