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Individual

DAVID L OLIVER

Active
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Individual

DAVID L OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001837
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158033
LABOR & IND.
WA
05
—
8330896
—
WA
01
—
8936700
CRIME VICTIMS
WA
01
—
970025814
RR MEDICARE
—
Enumeration date
06/29/2005
Last updated
11/21/2019
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