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Individual

DR. DAVID BRUCE GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7303 ROGERS AVE, SUITE 302, FORT SMITH, AR 72903-4165
(479) 785-2111
(479) 424-2593
Mailing address
7303 ROGERS AVE, SUITE 302, FORT SMITH, AR 72903-4106
(479) 785-2111
(479) 424-2593

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C5352
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105789001
AR
01
152730000-00
QUALCHOICE
AR
Enumeration date
08/15/2005
Last updated
09/29/2008
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