Individual
LISA COFFEY OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
989 S MAIN ST STE A, COTTONWOOD, AZ 86326-4602
(928) 679-3911
Mailing address
989 S MAIN ST STE A, COTTONWOOD, AZ 86326-4602
(928) 679-3911
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
37680
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456224
—
AZ
Enumeration date
05/11/2007
Last updated
10/05/2015
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