NPI 1033803481

Stacie Glass, PA

Practitioner Physician Assistant Provo, UT

Practice location

Address: 395 W Cougar Blvd STE 602, Provo, UT 84604-3331
Phone: (801) 357-0570

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1033803481
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jun 2023
Record last updated: 7 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.