Provider Demographics
NPI:1134309933
Name:BISCHOFF GLIDEWELL, BETTE J (MD)
Entity type:Individual
Prefix:DR
First Name:BETTE
Middle Name:J
Last Name:BISCHOFF GLIDEWELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6600 S YALE AVE
Mailing Address - Street 2:STE 1200
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3361
Mailing Address - Country:US
Mailing Address - Phone:918-488-6687
Mailing Address - Fax:918-488-6653
Practice Address - Street 1:3401 W GORE BLVD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-6332
Practice Address - Country:US
Practice Address - Phone:580-510-7037
Practice Address - Fax:580-510-7038
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2019-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS04-33670207R00000X
OK28027208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine