Individual
RICHARD A GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1341 BRANTON BLVD, STE 102, KNOXVILLE, TN 37922-8537
(865) 690-8778
(865) 694-7507
Mailing address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD21285
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4048686
BCBS
TN
05
—
Q007840
—
TN
Enumeration date
08/31/2005
Last updated
10/19/2018
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