Individual
DR. ALAN IRWIN GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 BROOKINGS DR, CAMPUS BOX 1201, SAINT LOUIS, MO 63130-4862
(314) 935-9626
Mailing address
1 BROOKINGS DR, CAMPUS BOX 1201, SAINT LOUIS, MO 63130-4862
(314) 935-9626
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2004000456
MO
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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