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NPI Code Detail

MEDICARE: STEVEN DAVID GLOW FNP

MEDICARE: STEVEN DAVID GLOW FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN26731MT

General Provider Information

NPI Number : 1366449530
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN DAVID GLOW FNP
Provider Business Mailing Address
First Line : 32 CAMPUS DR
Second Line :
City : MISSOULA
State : MT
Zip : 59812-0003
Country : US
Telephone Number : 406-243-2536
Fax Number :
Provider Business Practice Location Address
First Line : 2831 FORT MISSOULA RD
Second Line :
City : MISSOULA
State : MT
Zip : 59804-7419
Country : US
Telephone Number : 406-728-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2005
Last Update Date : 07/08/2007

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