Individual
GARRETT GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
291 JOHNSON RD, SELAH, WA 98942-9516
(509) 731-5132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61570300
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/13/2021
Last updated
10/01/2024
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