Keith James Glover
Vascular Surgeon
400 N Pepper Ave Ste 308
Colton
, California 92324-1801
Keith James Glover
Vascular Surgeon
400 N Pepper Ave Ste 308
Colton
, California 92324-1801
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Keith James Glover
- 400 N Pepper Ave Ste 308
- Colton, CA
- Zip : 92324-1801
- Phone :
Second Address
- Keith James Glover
- 400 N Pepper Ave Ste 308
- Colton, CA
- Zip : 92324-1801
- Phone : (877) 873-2762
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | A169766 | CA |
National Provider Identifier
| NPI | 1053706663 |
|---|---|
| Provider Name | Keith James Glover |
| First Address | Colton, CA 92324-1801 |
| Second Address | Colton, CA 92324-1801 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2015 |
| Last Update Date | 01/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.