Individual provider · Type 1 NPI
Clinton Earl Glass Sr., P.A.
Medical Physician Assistant · Smyrna, DE
NPI number
1093050098
Active
Practice location
51 Deak Dr, Suite 1 First Fl.
Smyrna, DE 19977-1268
Fax (302) 653-1283
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | C5-0000852 (DE) |
| Medical Physician Assistant Primary | 363AM0700X | C5-0000852 (DE) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
Other medical physician assistant providers in Smyrna
About NPI 1093050098
Clinton Earl Glass Sr., P.A.'s National Provider Identifier is 1093050098, issued on Dec 1, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Smyrna, DE. The record was last updated on Dec 1, 2012.