Individual
REBECCA OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 GEIPE RD STE 265, BALTIMORE, MD 21228-4152
(410) 747-7100
(410) 788-7387
Mailing address
9601 PULASKI PARK DR STE 416, MIDDLE RIVER, MD 21220-1409
(410) 933-5678
(410) 238-7451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005121
VA
363A00000X
Physician Assistant
Primary
C06480
MD
Other
Enumeration date
10/12/2015
Last updated
07/21/2022
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