Individual
PAUL DAVID OLIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
639 W POLO DR, SAINT LOUIS, MO 63105-2635
(314) 640-9732
Mailing address
639 W POLO DR, SAINT LOUIS, MO 63105-2635
(314) 640-9732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R8J70
MO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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