Individual provider · Type 1 NPI

Andrew Glidewell, PA-C

Surgical Physician Assistant · Travis Afb, CA

NPI number 1477049781 Active

Practice location

101 Bodin Cir
Travis Afb, CA 94535-1809

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X59785 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1477049781

Andrew Glidewell, PA-C's National Provider Identifier is 1477049781, issued on Jul 10, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Travis Afb, CA. The record was last updated on Feb 4, 2026.