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Individual
ROSS SAMUEL OLIVER JR.
Active
Individual
ROSS SAMUEL OLIVER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
13925
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721031
BC BS
WV
05
—
0130039000
—
WV
01
—
0216253040000
TRICARE
WV
01
—
1002718509
ACORDIA PEIA
WV
01
—
1393063
MC UMW
WV
01
—
1508836
CIGNA
WV
01
—
185112
SELECT NET
WV
01
—
221960
CARELINK
WV
01
—
340002703
RAILROAD MC
WV
01
—
4242731
AETNA
WV
Enumeration date
10/27/2006
Last updated
05/14/2012
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