Individual
THOMAS EDWARD OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
506 W GRAHAM AVE, SUITE 107, LAKE ELSINORE, CA 92530-3666
(951) 471-5116
Mailing address
506 W GRAHAM AVE, SUITE 107, LAKE ELSINORE, CA 92530-3666
(951) 471-5116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A7032
CA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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