Individual
DR. TODD M OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Mailing address
1 S KEENE ST, COLUMBIA, MO 65201-7199
(573) 443-2402
(573) 443-0574
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2005035360
MO
207XX0801X
Orthopaedic Trauma Physician
Primary
2005035360
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200570802
—
MO
Enumeration date
04/04/2006
Last updated
04/19/2012
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