Individual
MR. GLENN CHARLES BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3669
(703) 776-2897
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-1110
(703) 776-2897
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110-00118
VA
Other
Enumeration date
04/11/2007
Last updated
04/24/2008
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