Individual
BRENT STEVEN OLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2207 OLYMPIC AVE, SPRINGFIELD, OH 45503-2725
(937) 426-9500
Mailing address
5925 N. MAIN ST, SUITE D, DAYTON, OH 45415-3142
(937) 426-9500
(855) 482-2339
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36003776
OH
Other
Enumeration date
04/26/2013
Last updated
10/06/2016
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