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Mr. Clinton Earl Glass SR., PA
Medical Physician Assistant in Smyrna, Delaware
NPI 1093050098

Clinton Earl Glass SR. is a Medical Physician Assistant based in Smyrna, DE and is specialized in Medical. Clinton Earl Glass SR. practices in Smyrna, DE and has the professional credentials of PA. The NPI Number for Clinton Earl Glass SR. is 1093050098 and holds a License No. C5-0000852 (Delaware).

The current practice location address for Clinton Earl Glass SR. is 51 Deak Dr, Smyrna, DE and can be reached out via phone at 302-653-1281 and via fax at 302-653-1283.

Location: 51 Deak Dr, Smyrna, DE, 19977-1268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093050098
Provider Name
Clinton Earl Glass SR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
51 Deak Dr, Smyrna, DE, 19977-1268
Phone Number
302-653-1281
Fax Number
302-653-1283
Provider Enumeration Date
12/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
51 Deak Dr
City
Smyrna
State
Delaware
Zip
19977-1268
Phone Number
302-653-1281
Fax Number
302-653-1283
person
Provider Business Mailing Address Details
Address
51 Deak Dr
City
Smyrna
State
Delaware
Zip
19977-1268
Phone Number
302-653-1281
Fax Number
302-653-1283
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
C5-0000852 (Delaware)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
C5-0000852 (Delaware)
Definition
Definition to come...
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