Dr Glenn C Stow PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20824 Issued in OK

Legal business name

DR GLENN C STOW PLLC

Practice address

2304 N Harrison St
Shawnee, OK 74804-3135

Phone

(405) 273-0313

NPI assigned

Oct 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Glenn C Stow, MD

Title

Physician

Phone

(405) 273-0313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1396924072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268988",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748043135",
            "telephone_number": "405-273-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GLENN C STOW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "STOW",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-273-0313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OK",
            "license": "20824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101260E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connie Dockrey
• Dallyn Shea Dooley
• Misty Michelle Douthit, M.ED, LPC
• Jessicca Lynne Downey, LPN
• Alice Kathryn Downing, ATC
• Dr. Brian Chaffin PLLC
• Brian Ernest Drew, DDS
• Ryleigh Ashton Drew, SLPA
• Carley Dunlap
• Desiree Christine Dunlavy, PT

• General Practice Physician in Shawnee, OK
• Providers in Shawnee, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.