Leah Rose Glass, D.O. Valid NPI
Individual provider · Obstetrics & Gynecology Physician · O Fallon, MO
- NPI
- 1093942997
- Type
- Individual (Type 1)
- Primary specialty
- Obstetrics & Gynecology Physician (Obstetrics & Gynecology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207V00000X
- License number
- 2009015812 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-06-18
- Last updated
- 2013-06-21
Practice location
300 Winding Woods Dr, Suite 200
O Fallon, MO 63366-4771
(636) 240-0130