Individual
MR. DAVID THOMAS OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPAS, PA-C
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001465A
IN
363A00000X
Physician Assistant
Primary
PA1639
NV
363A00000X
Physician Assistant
PA211540
OR
363A00000X
Physician Assistant
PA61358281
WA
Other
Enumeration date
08/21/2012
Last updated
01/24/2024
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