Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 698 | NV |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 698 | NV |
NPI | 1093776486 |
---|---|
Provider Name | Dr. Donald Jay Gloeb |
First Address | Tripler Army Medical Center, HI 96859-5001 |
Second Address | Tripler Army Medical Center, HI 96859-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 17/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2018841 | (05) | NV |
71942901 | (05) | AZ |
A61608 | (02) | NV |