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Individual

DR. JEFFREY D OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10401 W THUNDERBIRD BLVD, SUN CITY, AZ 85351-3004
(602) 263-9007
Mailing address
PO BOX 27340, PHOENIX, AZ 85061-7340
(602) 943-9200
(602) 216-3000

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
18827
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109810
AZ
01
1Z7112
HEALTH NET AZ-SUN CITY PA
AZ
01
AX4478
HEALTH NET AZ-PATH ASSOC
AZ
01
AZ0182900
BCBSAZ-PATH ASSOC
01
AZ0828940
BCBSAZ-SUN CITY PATH
AZ
Enumeration date
02/22/2006
Last updated
07/20/2010
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