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Individual

NOAH GENE OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
127 RUE LOUIS XIV STE 101, LAFAYETTE, LA 70508-5738
(337) 269-9993
(337) 269-0316
Mailing address
PO BOX 159, OPELOUSAS, LA 70571-0159
(337) 942-7567

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM200070
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2374168
LA
Enumeration date
09/28/2010
Last updated
06/16/2018
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