David L Oliver PA-C

NPI 1043217664 - Physician Assistant - 363A00000X

NPI Details
NPI 1043217664
Gender Male
Enumeration Date 06/29/2005
Last Updated 07/30/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
LONGVIEW WA, 98632-1842, US
Phone (360) 747-5800
Fax (360) 575-3846
Business Location
PO BOX 3002
LONGVIEW WA, 98632-0302, US
Phone (360) 747-5800
Fax (360) 575-3846
Taxonomy Code 363A00000X
License State Washington
License Number PA10001837
Remove 1043217664 NPI Number

According to our database, David L Oliver PA-C NPI is 1043217664, taxonomy code is 363A00000X and license number is PA10001837, license state is located at Washington. David L Oliver PA-C physically located at 1718 E Kessler Blvd, Longview WA, 98632-1842. NPI Number David L Oliver PA-C has the Individual type.

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1043217664 NPI number is provided on an as is basis without warranty of any kind. 1043217664 is maintained by the National Plan & Provider Enumeration System. The contents of David L Oliver PA-C are for informational purposes only.