Individual provider · Type 1 NPI
Glen E. Waldner, CPO LPO
Specialist · Montgomery, AL
NPI number
1235271016
Active
Practice location
2865 Zelda Road
Montgomery, AL 36106
Fax (334) 395-8119
Mailing address
126 Sycamore Drive
Prattville, AL 36066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | POR151 (FL) |
| Specialist | 174400000X | 183 (AL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1235271016
Glen E. Waldner, CPO LPO's National Provider Identifier is 1235271016, issued on Feb 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Montgomery, AL. The record was last updated on Feb 4, 2008.