Individual
MR. ANDREW CHRISTOPHER GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1600 NORTH GRAND AVE., SUITE 508, PUEBLO, CO 81003-2757
(719) 595-7040
(719) 595-7045
Mailing address
1600 NORTH GRAND AVE., SUITE 508, PUEBLO, CO 81003-2757
(719) 595-7040
(719) 595-7045
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0004402
CO
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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