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Individual

BRENT GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 HOYLMAN DR, GASSAWAY, WV 26624-9318
(304) 364-1060
(304) 364-5136
Mailing address
100 HOYLMAN DR, GASSAWAY, WV 26624-9318
(304) 364-1060
(304) 364-5136

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24906
WV
207Q00000X
Family Medicine Physician
Primary
24906
WV

Other

Enumeration date
05/28/2010
Last updated
04/06/2022
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