Individual
AMY MARIE GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4100 W 3RD ST, (111), DAYTON, OH 45428-9000
(937) 268-6511
(937) 267-3934
Mailing address
365 ROYAL WOOD CT, VANDALIA, OH 45377-1800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1654
OH
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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