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Mr. Timothy Walker Glass
Student in an Organized Health Care Education/Training Program in Glendale, Arizona
NPI 1942069141

Timothy Walker Glass is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Timothy Walker Glass practices in Glendale, AZ. The NPI Number for Timothy Walker Glass is 1942069141 and holds a License No. (Arizona).

The current practice location address for Timothy Walker Glass is 19555 N 59Th Ave, Glendale, AZ and can be reached out via phone at 928-279-6768.

Location: 19555 N 59Th Ave, Glendale, AZ, 85037-0845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942069141
Provider Name
Timothy Walker Glass
Credential
Provider Entity Type
Individual
Gender
Male
Address
19555 N 59Th Ave, Glendale, AZ, 85037-0845
Phone Number
928-279-6768
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
19555 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-6813
Phone Number
928-279-6768
Fax Number
person
Provider Business Mailing Address Details
Address
19555 N 59Th Ave
City
Glendale
State
Arizona
Zip
85308-6813
Phone Number
928-279-6768
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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