Individual
DEVIN GLASSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-5748
(505) 722-1000
(928) 810-3800
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(928) 810-3801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
10/17/2005
Last updated
09/25/2015
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