Individual
DR. WILLIAM FREDRICK GLASS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(888) 882-3990
(434) 243-6499
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
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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