Charles C Glass, PA-C
NPI #1003219304 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1003219304
- Entity Type
- Individual
- Name
- Charles C Glass, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Jul 8, 2021
Practice Location
- Address
- 3550 S 4TH ST STE 250
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-5061
- Phone
- (913) 565-2569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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