Glen Edward Diacon, MD

Practice location

Address

1414 Arlington St Suite 2300, Ada, OK 74820-2643

Phone

(580) 332-0112

Fax

(580) 332-1005

Registered specialties

Registry record

NPI

1588659957

Entity type

Individual

Sex (as registered)

Male

NPI issued

13 Sep 2005

Record last updated

11 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.