Organization
JOSEPH J. OLIVER MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J. OLIVER MD,PC (PHYSICIAN)
(307) 362-7745
Entity
Organization
Contact information
Practice address
1204 HILLTOP DR, SUITE 103, ROCK SPRINGS, WY 82901-5861
(307) 362-7745
(307) 382-6615
Mailing address
1204 HILLTOP DR, SUITE 103, ROCK SPRINGS, WY 82901-5861
(307) 362-7745
(307) 382-6615
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2629A
WY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106379100
—
WY
01
—
106379101
MEDICAID SUPPLY NUMBER
WY
Enumeration date
04/22/2008
Last updated
02/02/2011
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