Individual
TYLER MARINO GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3949 BROWNING PL, RALEIGH, NC 27609-6536
(919) 787-7411
Mailing address
3949 BROWNING PL, RALEIGH, NC 27609-6536
(919) 787-7411
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2021-02733
NC
390200000X
Student in an Organized Health Care Education/Training Program
261407
NC
Other
Enumeration date
04/24/2020
Last updated
06/02/2025
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