Organization
MIDWEST EMERGENCY GRAND ISLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMON L GLOVER DO (OWNER)
(888) 577-6337
Entity
Organization
Contact information
Practice address
2620 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4205
(308) 384-4600
(904) 265-8181
Mailing address
PO BOX 797023, SAINT LOUIS, MO 63179-7000
(888) 577-6337
(904) 265-8181
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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