Individual provider · Type 1 NPI

Richard Wallace Glass, SA (PA)

Surgical Physician Assistant · Birmingham, AL

NPI number 1447366943 Active

Practice location

700 19th St S, Surgical Svc (112)
Birmingham, AL 35233-1927

Call (205) 933-8101 Map

Fax (205) 558-4732

Mailing address

29 Mary Ann Ln
Trussville, AL 35173-4346

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1447366943

Richard Wallace Glass, SA (PA)'s National Provider Identifier is 1447366943, issued on Aug 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Birmingham, AL. The record was last updated on Jul 8, 2007.