Individual
CHARLES B GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
688 23 1/2 RD STE 301, GRAND JUNCTION, CO 81505-8904
(970) 644-4030
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0072089
CO
207RC0000X
Cardiovascular Disease Physician
ME114850
FL
207RI0011X
Interventional Cardiology Physician
114850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114912000
—
FL
01
—
151F8
BCBS
FL
05
—
9000229493
—
CO
Enumeration date
06/16/2008
Last updated
12/05/2024
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