Individual ProviderTimothy Walker GlassStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address19555 N 59th Ave, Glendale, AZ 85308-6813(928) 279-6768PECOS EnrollmentBased on the most recent information from CMS, provider Timothy Walker Glass does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:10 PM.Profile DetailsProvider ID1942069141Provider TypeIndividualFull NameGlass, Timothy WalkerTitleMr.GenderMaleSole ProprietorNoEnumeration Date3/18/2024Last Updated3/18/2024Contact InformationPractice LocationPractice Address19555 N 59th Ave, Glendale, AZ 85308-6813Phone(928) 279-6768FaxUnlisted FaxMailing LocationMailing Address9438 W Sells Dr, Phoenix, AZ 85037-0845Phone(928) 279-6768FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer