NPI
Adult Medicine Specialist Of Canadian Valley, P.l.c
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2005-08-01
- Last updated
- 2022-07-21
Specialties
Licenses
- License OK
- Number not in the file
Location
- Practice location
- 1608 Professional Circle
- City
- Yukon OK
- Postal code
- 73099
- Phone
- (405) 354-2118
Organization contact
- Name
- GLEN HYDE
- Title
- Provider/Owner
- Phone
- 4053542118
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Yukon, OK. 1,515 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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