Individual
DR. WILLIAM FREDRICK GLASS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
0101048070
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-008
CHAMPUS/TRICARE
VA
05
—
004910681
—
VA
01
—
0648X
BC/BS NC
NC
01
—
239722
UHC/MAMSI/MDIPA
VA
01
—
330785
ANTHEM BC/BS
VA
05
—
890648X
—
NC
01
—
99061
SENTARA OHP/SHP
VA
01
—
PAR
CORVEL CORCARE
VA
Enumeration date
02/16/2006
Last updated
05/25/2022
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