Individual
DR. THOMAS V OLIVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11709 OLD BALLAS RD, SUITE 201, CREVE COEUR, MO 63141-7029
(314) 997-8828
(314) 432-5105
Mailing address
PO BOX 419074, CREVE COEUR, MO 63141-9074
(314) 997-8828
(314) 432-5105
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2001004855
MO
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
2001004855
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205323009
—
MO
Enumeration date
08/09/2006
Last updated
07/11/2008
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