Individual
MR. PETER FORREST OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249
(209) 754-0870
(209) 754-0878
Mailing address
PO BOX 636, SAN ANDREAS, CA 95249
(209) 754-0870
(209) 754-0878
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G65894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G58940
—
CA
Enumeration date
06/22/2006
Last updated
03/07/2023
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