Gavin Thomas Glover, DPM
Assistant, Podiatric in Tucson, AZ. Individual provider (NPI-1).
NPI number1225611106
StatusActive
Last updated in NPPESApr 29, 2021
Details
- NPI
- 1225611106
- Entity type
- Individual (NPI-1)
- Name
- Gavin Thomas Glover
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2021
- Certification date
- Apr 28, 2021
- Last updated
- Apr 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 211D00000X | Assistant, Podiatric | – | – | Yes |
Practice location
3601 S 6th AveTucson, AZ 85723-0001
Phone 792-520-1450
Mailing address
5400 E Williams Blvd Apt 12206Tucson, AZ 85711-7486
Phone 619-838-1330
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