Individual
DARREN R GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1898 BRAEBURN DR, SALEM, VA 24153-7301
(540) 772-3008
(540) 772-3352
Mailing address
1898 BRAEBURN DR, SALEM, VA 24153-7301
(540) 772-3008
(540) 772-3352
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101268865
VA
208600000X
Surgery Physician
81-4671690
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112089A
—
GA
05
—
0101268865
—
VA
01
—
094L9GL
BCBSM
MN
01
—
1701027
MEDICA
MN
05
—
829699500
—
MN
Enumeration date
03/08/2006
Last updated
04/11/2025
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