IndividualActive
Andrew Glass, P.A.-C
NPI 1114397437 · Surgical Physician Assistant · Pueblo, CO
Provider details
- NPI number
- 1114397437
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA.0004402 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1600 North Grand Ave.
Suite 508
Pueblo, CO 81003-2757
Phone: (719) 595-7040
Fax: (719) 595-7045
Approximate (ZIP-level) locationGet directions
Mailing address
1600 North Grand Ave.
Pueblo, CO 81003-2757
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2015-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.