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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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DIACON, GLEN EDWARD JR
Practice Address: 1414 ARLINGTON #2300
ADA OK 74820

Address last updated on 6/13/2023
Phone #: (580) 332-0112
Fax #: (580) 332-1005
County: PONTOTOC
License: 16231
Dated: 7/8/1987
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Urology
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1986
CME Year: 2024
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF UROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Atoka Memorial Hospital
Atoka, OK
Holdenville General Hospital
Holdenville, OK
INTEGRIS Seminole Medical Center
Seminole, OK
Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Locations: Hours: Languages:
1414 ARLINGTON #2300
ADA OK 74820

Phone #: (580) 332-0112
Fax #: (580) 332-1005
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1414 ARLINGTON ST STE 1500
ADA, OK 74820

Phone #: (580) 279-6002
Fax #: (3) 202-
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23 E CHOCTAW AVE
MCALESTER, OK 74501

Phone #: (918) 423-2223
Fax #: (3) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PEGGY S ATWOOD PA 1237
KASEY LEE BRUNDIDGE PA 1618
LISA CLAYTON APRN 76972
SHERRY LEE HECK PA 1386
TANYA HUDSON APRN 69754
MARK CHRISTOPHER LEU PA 722
SHARI RHODES APRN 87144
LAUREN NACHELLE SANDMANN-CROW PA 2415

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