Individual
DR. ROBERT P OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 ORCHARD PL, GREENVILLE, MS 38701-8079
(662) 378-8000
(662) 378-8000
Mailing address
5 ORCHARD PL, GREENVILLE, MS 38701-8079
(662) 378-8000
(662) 378-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11544
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118393
—
MS
05
—
113889001
—
AR
05
—
1392120
—
LA
01
—
P00275313
RR MEDICARE
—
Enumeration date
11/06/2006
Last updated
11/17/2009
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