GLEN S LOVELACE

BOISE, ID
NPI1720023930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: ID  M6570)
Enumeration Date2006-06-19
Last Update Date2017-08-23
Business Address
Dr. GLEN S LOVELACE MD
333 N 1ST ST STE 260
BOISE, ID 83702-6132
Phone number: 208-345-3136
Mailing Address
Dr. GLEN S LOVELACE MD
333 N 1ST ST STE 260
BOISE, ID 83702-6132
Phone number: 208-345-3136