Organization
SILVER OAK MEDICAL OFFICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER FORREST OLIVER MD (MD PRESIDENT)
(209) 754-0870
Entity
Organization
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
207Q00000X
Family Medicine Physician
G66157
CA
207Q00000X
Family Medicine Physician
G80069
CA
208600000X
Surgery Physician
G65894
CA
208600000X
Surgery Physician
Primary
G85223
CA
Other
Enumeration date
06/22/2006
Last updated
07/12/2010
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