Individual
MR. JOHN B. OLIPHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC, ATC
Contact information
Practice address
1160 CORPORATE DR, HEALTHWORKS, FARMINGTON, NY 14425-9534
(585) 924-1550
Mailing address
972 KENSINGTON CT, VICTOR, NY 14564-9367
(585) 742-3452
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5647
NY
363AM0700X
Medical Physician Assistant
Primary
005647
NY
Other
Enumeration date
02/27/2007
Last updated
07/05/2023
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