Dr. Justin Ball Glover, DO
Family Medicine in Philadelphia, PA. Individual provider (NPI-1).
NPI number1255017331
StatusActive
Last updated in NPPESAug 11, 2026
Details
- NPI
- 1255017331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Ball Glover
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2023
- Certification date
- Aug 11, 2026
- Last updated
- Aug 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OS026173 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | OT022718 | PA |
Practice location
10800 Knights RdPhiladelphia, PA 19114-4200
Phone 215-612-5161
Mailing address
10800 Knights RdPhiladelphia, PA 19114-4200
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