Organization
DONALD K. GLOVER, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD K GLOVER JR. D.O. (PRESIDENT)
(505) 326-4546
Entity
Organization
Contact information
Practice address
657A W MAPLE ST, FARMINGTON, NM 87401-5967
(505) 326-4546
(505) 325-0689
Mailing address
657A W MAPLE ST, FARMINGTON, NM 87401-5967
(505) 326-4546
(505) 325-0689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A76683
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40345
—
NM
Enumeration date
09/25/2008
Last updated
09/25/2008
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