Individual
CARMEN OLIVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1955 W FRYE RD, CHANDLER, AZ 85224-6282
(888) 393-8674
Mailing address
4530 E MUIRWOOD DR STE 105, PHOENIX, AZ 85048-7693
(480) 961-2303
(480) 961-0419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36855
AZ
208M00000X
Hospitalist Physician
36855
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183405300
—
MN
Enumeration date
01/16/2006
Last updated
12/13/2018
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