Individual
MR. RAIMUND R GLOSSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1602
(757) 314-7595
(757) 314-7601
Mailing address
104 YORK LN, YORKTOWN, VA 23692-4029
(757) 890-2710
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110001204
VA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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