SearchWashington208600000X

Glenn Deyo, MD

NPI 1053421800 · on the registry since 2006 · sole proprietor

Practice

Address
4521 82nd Avenue Ct W
University Place, WA 98466
Phone
(253) 312-8336
Fax
(253) 475-1185

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington