Individual
MICHAEL OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6250 BUBBLING BROOK CIR, ANCHORAGE, AK 99516-1834
(907) 748-5870
(907) 929-6005
Mailing address
4300 RENDEZVOUS CIR, ANCHORAGE, AK 99504-4219
(907) 301-3259
(907) 929-6005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2011
Last updated
09/03/2011
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