Individual
DR. GEORGE ALLEN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 W COLUMBIA ST, FARMINGTON, MO 63640-2902
(573) 218-6792
(573) 218-6703
Mailing address
1010 W COLUMBIA ST, FARMINGTON, MO 63640-2902
(573) 218-6792
(573) 218-6703
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25526
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25526
MO PROF. LICENSE #
MO
Enumeration date
12/05/2006
Last updated
07/09/2007
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