Individual
DR. MICHAEL GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W FORT ST, MAIL CODE #112, BOISE, ID 83702
(208) 422-1000
(208) 422-1082
Mailing address
500 W FORT ST, MAIL CODE #112, BOISE, ID 83702
(208) 422-1000
(208) 422-1082
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q2445
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M-13346
ID
207XS0117X
Orthopaedic Surgery of the Spine Physician
Q2445
TX
Other
Enumeration date
05/10/2010
Last updated
08/23/2022
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