Male or Other

Glen E. Waldner CPO LPO

Specialist in Montgomery, AL(View on Map)

Full Name

Glen E Waldner CPO LPO

NPI Number

1235271016

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/12/2007

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Alabama
Florida

License Number

183
POR151

Contact
Information

Purpose

Mailing
Location

Address

126 SYCAMORE DRIVE
2865 ZELDA ROAD

City

Prattville
Montgomery

State

AL
AL

Postal Code

36066
36106

Country

US
US

Telephone Number

(334) 730-4835
(334) 395-8118

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/04/2008

Provider Address

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