NPI 1790892461

Glenn Alan Koester, MD

Practitioner Procedural Dermatology Physician Edmond, OK

Practice location

Address: 3863 S. Boulevard, Edmond, OK 73034
Phone: (405) 216-5444
Fax: (405) 216-5445

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 18783 (OK)

Other Dermatology providers in Oklahoma →

Registry record

NPI: 1790892461
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2006
Record last updated: 19 Jul 2013

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.