Individual
MR. DENNIS RICHARD OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
18433 MAIN ST, STRONGSVILLE, OH 44149-1507
(216) 791-3800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000644
OH
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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