Stacie Glass, PA

NPI #1033803481 in Provo, Utah

Provider Information

NPI Number: 1033803481
Entity Type: Individual
Name: Stacie Glass, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 7, 2023
Last Updated: Jun 7, 2023

Practice Location

Address: 395 W COUGAR BLVD STE 602
City: Provo
State: Utah
ZIP Code: 84604-3331
Phone: (801) 357-0570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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