Organization
GCXP INC
Active
Organization
GCXP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMON L GLOVER III DO (AUTHORIZED OFFICIAL)
(888) 577-6337
Entity
Organization
Contact information
Practice address
1 SAINT ELIZABETH BLVD, O FALLON, IL 62269-1099
(618) 234-2120
(904) 265-8181
Mailing address
PO BOX 797002, SAINT LOUIS, MO 63179-7000
(888) 577-6337
(618) 624-3387
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
Update your record
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