Individual
BETHANY L GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
834 N SEMINARY ST, SUITE 402, GALESBURG, IL 61401-2852
(309) 343-5117
(309) 343-0029
Mailing address
834 N SEMINARY ST, SUITE 402, GALESBURG, IL 61401-2852
(309) 343-5117
(309) 343-0029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003660
IL
Other
Enumeration date
11/18/2009
Last updated
11/01/2012
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