Gina E Glass in Iowa City - Physician Assistant

Gina E Glass - NPI 1760478655

Gina E Glass is a Physician Assistant in Iowa City, Iowa. Gina E Glass practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gina E Glass is 1760478655. The last update date is 2007-12-03.

Gina E Glass's current location address is 200 Hawkins Dr, Iowa City, Iowa. You can contact this provider via phone number 3193538868 and fax number 3193849697. The mailing address for Gina E Glass is 200 Hawkins Dr, Iowa City, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Gina E Glass
Address 200 Hawkins Dr, Iowa City, Iowa
Phone Number 3193538868
Fax Number 3193849697
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1760478655
Provider Enumeration Date 2005-09-26
Last Updated Date 2007-12-03

Provider Mailing Address Detail

Address 200 Hawkins Dr
City Iowa City
State Iowa (IA)
Post Code 522421009
Phone Number 3193538868
Fax Number 3193849697

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 624
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
43233 IA WELLMARK BCBS

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FAQs about Gina E Glass

What is the Gina E Glass's unique identification number?

The Gina E Glass has been assigned the NPI (National Provider Identifier) Number 1760478655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Gina E Glass located?

The Gina E Glass is located at 200 Hawkins Dr, Iowa City, IA 522421009.

What is Gina E Glass's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gina E Glass's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1760478655 to Gina E Glass?

The Gina E Glass received its 1760478655 assignment from the Centers for Medicare & Medicaid Services on 2005-09-26.

As of what date were the details pertaining to Gina E Glass last refreshed?

The information related to the Gina E Glass, including its address, specialty, and other relevant details, was last updated on 2007-12-03.

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