Individual
CHARLES F GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
HEMET RADIOLOGY MEDICAL GROUP, INC., 235 LAURSEN STREET, HEMET, CA 92543
(951) 765-5417
(951) 765-5418
Mailing address
PO BOX 2497, FALLBROOK, CA 92088-2497
(790) 728-3202
(760) 728-1901
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G12861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G128610
—
CA
Enumeration date
07/10/2006
Last updated
07/08/2007
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