Individual
DIANNE M GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 MADISON ST, STE 800, SEATTLE, WA 98104-1306
(206) 215-2700
(206) 215-2702
Mailing address
PO BOX 84026, SEATTLE, WA 98124-8426
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00019299
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0152035
LABOR AND INDUSTRIES
WA
05
—
8370405
—
WA
Enumeration date
12/19/2006
Last updated
03/04/2008
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