Keith James Glover, | |
400 N Pepper Ave Ste 308, Colton, CA 92324-1801 | |
(877) 873-2762 | |
Not Available |
Full Name | Keith James Glover |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 9 Years |
Location | 400 N Pepper Ave Ste 308, Colton, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053706663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | A169766 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arrowhead Regional Medical Center | Colton, CA | Hospital |
Redlands Community Hospital | Redlands, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cal Med Physicians And Surgeons Inc | 4385556687 | 24 |
Entity Name | Cal Med Physicians And Surgeons Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316054737 PECOS PAC ID: 4385556687 Enrollment ID: O20031104000708 |
Entity Name | Cal Med Vascular Asc Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1326789009 PECOS PAC ID: 3173903382 Enrollment ID: O20220706002012 |
Mailing Address | Practice Location Address |
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Keith James Glover, 400 N Pepper Ave Ste 308, Colton, CA 92324-1801 Ph: () - | Keith James Glover, 400 N Pepper Ave Ste 308, Colton, CA 92324-1801 Ph: (877) 873-2762 |
Amir Ali Rahnemai Azar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Paul John Wisniewski, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave Ste 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Dr. Farabi M. Hussain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N. Pepper Ave., Surgery - Mob 308, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Appannagari Gnanadev, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Armc Modular # 3, Colton, CA 92324 Phone: 909-580-6210 Fax: 909-580-1363 | |
Victor Joe, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Armc, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 | |
Milton Retamozo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 N Pepper Ave, Dept Surgery Modular # 3, Colton, CA 92324 Phone: 909-580-3353 Fax: 909-580-1363 |