Organization
RANDALL L. OLIVER, M.D., P.C.
Active
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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