Individual
RANDALL LEE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8016
(812) 477-7246
(812) 477-7240
Mailing address
PO BOX 5249, EVANSVILLE, IN 47716-5249
(812) 477-7246
(812) 477-7240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01029835
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
1029835
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000386753
ANTHEM PAIN MGMT
IN
01
—
000000089152
ANTHEM FAMILY PRACTICE
IN
05
—
100180970A
—
IN
01
—
1006173
CHAMPUS
IN
01
—
10643
HEALTHSOURCE
IN
01
—
169425
HEALTHLINK
IN
01
—
351865226-00
PHN
IN
05
—
64872484
—
KY
01
—
659100
PRINCIPAL
IN
Enumeration date
05/17/2006
Last updated
08/16/2024
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