Individual
MR. STEVEN M GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3 NAVARRE STREET, THOREAU, NM 87323
(505) 786-5291
(505) 786-6440
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
(505) 786-5291
(505) 786-6440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
G75554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R5492
—
NM
Enumeration date
06/28/2006
Last updated
07/08/2007
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