Individual
DR. THOMAS ALLEN OLAVIANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
960 WYOMING AVE, FORTY FORT, PA 18704-3937
(570) 287-8887
(570) 287-8914
Mailing address
960 WYOMING AVE, FORTY FORT, PA 18704-3937
(570) 287-8887
(570) 287-8914
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003640L
PA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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