Individual
DR. SANDRA E. GLASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
968 FIRST COLONIAL RD, 101, VIRGINIA BEACH, VA 23454-3171
(757) 412-1005
(757) 412-1015
Mailing address
PO BOX 844560, BOSTON, MA 02284-4560
(757) 412-1005
(757) 412-1015
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101049731
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6409351
—
VA
Enumeration date
09/15/2006
Last updated
05/12/2016
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