Devin Glasses PA-C

NPI 1043209604 - Physician Assistant - 363A00000X

NPI Details
NPI 1043209604
Gender Male
Enumeration Date 10/17/2005
Last Updated 09/25/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
516 E. NIZHONI BLVD.
GALLUP NM, 87301-5748, US
Phone (505) 722-1000
Fax (928) 810-3800
Business Location
P.O. BOX 1337
GALLUP NM, 87305-1337, US
Phone (505) 722-1000
Fax (928) 810-3801
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Devin Glasses PA-C NPI is 1043209604, taxonomy code is 363A00000X Devin Glasses PA-C physically located at 516 E. Nizhoni Blvd., Gallup NM, 87301-5748. NPI Number Devin Glasses PA-C has the Individual type.

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1043209604 NPI number is provided on an as is basis without warranty of any kind. 1043209604 is maintained by the National Plan & Provider Enumeration System. The contents of Devin Glasses PA-C are for informational purposes only.