Individual
GINA E GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8215
(319) 384-5142
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8215
(319) 384-5142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000624
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43233
WELLMARK BCBS
IA
Enumeration date
09/26/2005
Last updated
10/11/2024
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