Individual
RYAN ROBERT GLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 384-2610
(252) 338-2505
Mailing address
1144 N ROAD ST, ELIZABETH CITY, NC 27909-3473
(252) 384-2610
(252) 338-2505
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
201801595
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2014
Last updated
05/16/2024
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