Individual
MR. GLEN WARREN ROVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-A
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4214
(360) 475-4214
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4214
(360) 475-4214
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.000470
IL
Other
Enumeration date
10/27/2005
Last updated
11/19/2009
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