MR. Clinton Earl Glass SR., P.A.

NPI #1093050098 in Smyrna, Delaware

Provider Information

NPI Number
1093050098
Entity Type
Individual
Name
MR. Clinton Earl Glass SR., P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Dec 1, 2012
Last Updated
Dec 1, 2012

Practice Location

Address
51 DEAK DR
Address 2
SUITE 1 FIRST FL.
City
Smyrna
ZIP Code
19977-1268
Phone
(302) 653-1281

Specialties & Taxonomy Codes

Specialty
Family Medicine - Adolescent MedicineAdolescent Medicine
Physician Assistant - MedicalMedical

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