RICHARD WALLACE GLASS

BIRMINGHAM, AL
NPI1447366943
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Mr. RICHARD WALLACE GLASS SA (PA)
700 19TH ST S SURGICAL SVC (112)
BIRMINGHAM, AL 35233-1927
Phone number: 205-933-8101
Mailing Address
Mr. RICHARD WALLACE GLASS SA (PA)
29 MARY ANN LN
TRUSSVILLE, AL 35173-4346
Phone number: 205-467-3475
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