Organization
DAVID J. OLIVERI, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J OLIVERI M.D. (OWNER)
(702) 778-9300
Entity
Organization
Contact information
Practice address
851 S RAMPART BLVD, SUITE 115, LAS VEGAS, NV 89145-4882
(702) 778-9300
(702) 778-9301
Mailing address
PO BOX 370183, LAS VEGAS, NV 89137-0183
(702) 778-9300
(702) 778-9301
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502158
—
NV
Enumeration date
04/28/2006
Last updated
10/24/2011
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