IndividualActive
Jason Glass, M.D.
NPI 1336534528 · Gastroenterology Physician · Farmington, NM
Provider details
- NPI number
- 1336534528
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD2021-0302 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
630 W Maple St
Farmington, NM 87401-6113
Phone: (505) 609-6349
Fax: (505) 609-6348
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 844088
Dallas, TX 75284-4088
Additional practice locations (1)
- 1 Saint George CtBrookeville, MD 20833-3267Phone: (240) 483-7412
Registry dates
- Enumerated
- 2015-04-03
- Last updated
- 2024-11-12
- Certified
- 2024-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.