Doctor Name: | ROBERT J OLIVER |
NPI Number: | 1427061084 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 30330 |
Business Practice Address: | 1600 Heritage Lndg Ste 215 Saint Peters, MO - 633038489 |
Business Phone Number: | 6369394200 |
Business Fax Number: | 6369394204 |
Mailing Address: | 1600 Heritage Lndg, Ste 215 SAINT PETERS |
State: | MO |
Postal Code: | 633038489 |
Phone Number: | 6369394200 |
Fax Number: | 6369394204 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 07/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 30330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |