Individual
MR. CHRIS OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
2601 BOBBY LN, SPRUCE CREEK, PA 16683-1504
(814) 360-3466
Mailing address
2601 BOBBY LN, SPRUCE CREEK, PA 16683-1504
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
103062
PA
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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