Individual
CHARLES OLIVETO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(501) 268-6121
Mailing address
606 W ARCH AVE, SEARCY, AR 72143-5206
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-17458
AR
Other
Enumeration date
04/02/2019
Last updated
12/20/2023
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