Individual
MRS. DIANNA LYNN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 GRESHAM DR STE 204, NORFOLK, VA 23507-1904
(757) 388-5680
Mailing address
3617 GENTLE RD, PORTSMOUTH, VA 23703-3403
(607) 765-6826
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
0110005924
VA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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