Bethany L Glaser, PA-C
Physician Assistant in Galesburg, IL. Individual provider (NPI-1).
NPI number1386972016
StatusActive
Last updated in NPPESNov 1, 2012
Details
- NPI
- 1386972016
- Entity type
- Individual (NPI-1)
- Name
- Bethany L Glaser
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2009
- Last updated
- Nov 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085003660 | IL | Yes |
Practice location
834 N Seminary StSuite 402
Galesburg, IL 61401-2852
Phone 309-343-5117 · Fax 309-343-0029
Mailing address
834 N Seminary StSuite 402
Galesburg, IL 61401-2852
Phone 309-343-5117 · Fax 309-343-0029
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All 11 Physician Assistant providers in Galesburg · All 738 providers in Galesburg
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