Individual
ERIC DAVID GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 241-5913
Mailing address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 241-5913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1249025
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
04/28/2026
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