Organization
RANDALL L. OLIVER, M.D., P.C.
Active
Other names
OLIVER HEADACHE AND PAIN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL LEE OLIVER M.D. (OWNER/PHYSICIAN)
(812) 477-7246
Entity
Organization
Contact information
Practice address
1101 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8016
(812) 477-7246
(812) 477-7240
Mailing address
PO BOX 6810, EVANSVILLE, IN 47719-0810
(812) 477-7246
(812) 477-7240
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000386753
ANTHEM PAIN MGMT
IN
01
—
000000089152
ANTHEM FAMILY PRACTICE
IN
05
—
100180970A
—
IN
01
—
1006173
CHAMPUS
IN
01
—
10643
HEALTHSOURCE
IN
01
—
169425
HEALTHLINK
IN
05
—
64872484
—
KY
01
—
659100
PRINCIPAL
IN
01
—
719364
AFFORDABLE
IN
Enumeration date
07/03/2006
Last updated
03/19/2013
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