IndividualActive
Andrew Glidewell, PA-C
NPI 1477049781 · Surgical Physician Assistant · Travis Afb, CA
Provider details
- NPI number
- 1477049781
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 59785 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone: (707) 423-5278
Approximate (ZIP-level) locationGet directions
Mailing address
101 Bodin Cir
Travis Afb, CA 94535-1809
Registry dates
- Enumerated
- 2018-07-10
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.