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Individual

DR. D. BRUCE GLOVER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
851 E 5TH ST, SUITE 328, WASHINGTON, MO 63090-3135
(636) 239-1101
Mailing address
851 E 5TH ST, SUITE 328, WASHINGTON, MO 63090-3135
(636) 239-1101

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2007015927
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538103569
MO
01
P00666965
RAILROAD MEDICARE
MO
Enumeration date
06/16/2006
Last updated
10/31/2014
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