Individual
DR. DOMINICK OLIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
255 ROUTE 220 HWY STE 205, MUNCY, PA 17756-7568
(570) 308-2564
(570) 308-2566
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 308-2564
(570) 308-2566
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC007536
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000390660
—
MT
Enumeration date
10/03/2005
Last updated
07/22/2025
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