NPI 1881704252

Glenn Roland Stockbridge, DPM

Practitioner Podiatrist Odessa, TX

Practice location

Address: 3912 Tanglewood Lane, Odessa, TX 79762-7165
Phone: (432) 367-9944
Fax: (432) 368-7600

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence TX1201 (TX)

Other Podiatrist providers in Texas →

Registry record

NPI: 1881704252
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2006
Record last updated: 14 Apr 2008

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.