Individual
PAMELA OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 F AVE, DOUGLAS, AZ 85607-1919
(520) 364-3285
(520) 364-3378
Mailing address
155 CALLE PORTAL, SUITE 100, SIERRA VISTA, AZ 85635-2900
(520) 459-3011
(520) 515-8663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
706300
—
Other
Enumeration date
09/29/2016
Last updated
11/10/2016
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