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Individual

DAN GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CST

Contact information

Practice address
8333 NAAB RD, STE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300
Mailing address
8333 NAAB RD, STE 250, INDIANAPOLIS, IN 46260-5924
(317) 396-1300

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
14271
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14271
CST CERTIFICATION
IN
Enumeration date
08/11/2006
Last updated
07/08/2007
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