Provider Demographics
NPI:1992094908
Name:GLOVER, DREW WASHINGTON (MD)
Entity type:Individual
Prefix:
First Name:DREW
Middle Name:WASHINGTON
Last Name:GLOVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:407 E. RUSSELL
Mailing Address - Street 2:BUILDING C
Mailing Address - City:WARRENSBURG
Mailing Address - State:MO
Mailing Address - Zip Code:64093
Mailing Address - Country:US
Mailing Address - Phone:660-747-5114
Mailing Address - Fax:660-747-8582
Practice Address - Street 1:407 E. RUSSELL
Practice Address - Street 2:BUILDING C
Practice Address - City:WARRENSBURG
Practice Address - State:MO
Practice Address - Zip Code:64093
Practice Address - Country:US
Practice Address - Phone:660-747-5114
Practice Address - Fax:660-747-8582
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2012030855207Q00000X, 207QS0010X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program