Individual
MELISSA GLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5424 E SOUTHERN AVE STE 101, MESA, AZ 85206-3621
(806) 546-2004
(480) 654-6214
Mailing address
5424 E SOUTHERN AVE STE 101, MESA, AZ 85206-3621
(806) 546-2004
(480) 654-6214
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5570
AZ
Other
Enumeration date
02/24/2014
Last updated
04/02/2019
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