Individual
DR. RONALD D. GLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 HOSPITAL DR, SUITE C, LEBANON, MO 65536-9217
(417) 533-6500
(417) 533-6555
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001004847
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205241706
—
MO
Enumeration date
11/01/2006
Last updated
05/13/2013
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