# MR. DAVID THOMAS OLIPHANT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1851649032
- **Gender:** Man
- **Credential:** MSPAS, PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10001465A | IN | — |
| 363A00000X | Physician Assistant | PA1639 | NV | Yes |
| 363A00000X | Physician Assistant | PA211540 | OR | — |
| 363A00000X | Physician Assistant | PA61358281 | WA | — |

## Other

- **Enumeration date:** 08/21/2012
- **Last updated:** 01/24/2024