Individual
DR. MALCOLM B. OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 N GRAND, SUITE 2, GREENFIELD, MO 65661
(417) 637-5133
(417) 637-5124
Mailing address
1500 N OAKLAND, BOLIVAR, MO 65613
(417) 637-5133
(417) 637-5124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
107047
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207960519
—
MO
Enumeration date
10/11/2006
Last updated
01/04/2010
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