Individual
EDWIN CHAPMAN GLASS
Active
Individual
EDWIN CHAPMAN GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
C35240
CA
207UN0901X
Nuclear Cardiology Physician
C35240
CA
207UN0902X
Nuclear Imaging & Therapy Physician
C35240
CA
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
C35240
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C352400
BLUE SHIELD
CA
05
—
00C352400
—
CA
Enumeration date
06/16/2006
Last updated
07/13/2007
Update your record
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