Individual
DR. PAUL MILTON OLIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3126 S JACKSON AVE, STE 200, JOPLIN, MO 64804-2534
(417) 625-2278
(417) 625-2277
Mailing address
3126 S JACKSON AVE, STE 200, JOPLIN, MO 64804-2534
(417) 625-2278
(417) 625-2277
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD36627
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200964590A
—
KS
05
—
202825329
—
MO
Enumeration date
07/14/2005
Last updated
11/28/2012
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