PHILLIP GLASS

JOHNSON CITY, TN
NPI1962023051
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-30
Last Update Date2024-11-04
Business Address
PHILLIP GLASS MD
403 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6034
Phone number: 423-431-7111
Mailing Address
PHILLIP GLASS MD
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-952-2111
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