Organization
GLOVER, KELTY & SCHULTHEIS MDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC BROXHAM M.D. (PATHOLOGIST/MANAGING PARTNER)
(805) 373-8582
Entity
Organization
Contact information
Practice address
215 W JANSS RD, PATHOLOGY DEPARTMENT, THOUSAND OAKS, CA 91360-1847
(805) 373-8582
(805) 373-6865
Mailing address
PO BOX 29019, GLENDALE, CA 91209-9019
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0080780
—
CA
Enumeration date
07/10/2006
Last updated
03/17/2026
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