| Doctor Name: | JOHN OLIVER |
| NPI Number: | 1093778029 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 4950 |
| Business Practice Address: | 950 Bogard Rd Suite 238 Wasilla, AK - 996547105 |
| Business Phone Number: | 9073576121 |
| Business Fax Number: | |
| Mailing Address: | Po Box 875910, Pmb 287 WASILLA |
| State: | AK |
| Postal Code: | 996875910 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 4950 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |