Individual
MR. THEODORE R GOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
205 W BAGLEY RD, BEREA, OH 44017-1886
(440) 398-8018
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004443RX
OH
Other
Enumeration date
09/15/2015
Last updated
09/19/2025
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