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Individual

DAVID A. GLASER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1224 GRAHAM RD, SUITE 3011, FLORISSANT, MO 63031-8028
(314) 839-1211
Mailing address
10 CHIPPER RD, SAINT LOUIS, MO 63131-3410
(314) 997-1311

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
103287
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891807137
ANTHEM BLUECROSS BLUESHIELD
MO
05
206656506
MO
Enumeration date
08/31/2006
Last updated
09/28/2022
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