Healthcare Provider Details

I. General information

NPI: 1447416862
Provider Name (Legal Business Name): MORRIS SCOTT GLOVER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35629 HIGHWAY 72
SALEM MO
65560-7217
US

IV. Provider business mailing address

35629 HIGHWAY 72
SALEM MO
65560-7217
US

V. Phone/Fax

Practice location:
  • Phone: 573-729-6626
  • Fax: 573-729-6502
Mailing address:
  • Phone: 573-729-6626
  • Fax: 573-729-6502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2016009495
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2016009495
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: