Individual provider · Type 1 NPI
Nathan T. Glass, PA-C
Medical Physician Assistant · Smithfield, PA
NPI number
1043623663
Active
Practice location
100 Ridgeview Dr Ste 100
Smithfield, PA 15478-1650
Mailing address
100 Ridgeview Dr # 100
Smithfield, PA 15478-1650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA0624987 (PA) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1043623663
Nathan T. Glass, PA-C's National Provider Identifier is 1043623663, issued on Jun 11, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Smithfield, PA. The record was last updated on Jan 18, 2022.