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Individual

DR. DAVID MERRILL OLDHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
655 7TH ST BLDG 700-A78, ROBINS AFB, GA 31098-2227
(478) 327-7758
(478) 327-7585
Mailing address
655 7TH ST BLDG 700, ROBINS AFB, GA 31098-2227
(478) 327-7758
(478) 327-7585

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
455
NE
2083X0100X
Occupational Medicine Physician
10960787-1204
UT

Other

Enumeration date
11/08/2006
Last updated
04/26/2022
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