Individual
GRAHAM D GLASS
Active
Individual
GRAHAM D GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037803
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110187987
RAILROAD MEDICARE
WA
05
—
8244923
—
WA
Enumeration date
06/21/2006
Last updated
12/30/2022
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