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Individual

NATHAN T GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
100 RIDGEVIEW DR STE 100, SMITHFIELD, PA 15478-1650
(724) 569-8100
Mailing address
100 RIDGEVIEW DR # 100, SMITHFIELD, PA 15478-1650
(724) 569-8100

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA0624987
PA
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
06/11/2014
Last updated
01/18/2022
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