Doctor Name: | STEVEN WAYNE OLIVER |
NPI Number: | 1528132602 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 9055070 |
Business Practice Address: | 427 Hwy 20 East Suite #a Twisp, WA - 98856 |
Business Phone Number: | 5096890991 |
Business Fax Number: | 5096890819 |
Mailing Address: | Hwy 173 #826, BREWSTER |
State: | WA |
Postal Code: | 98812 |
Phone Number: | 5096890991 |
Fax Number: | 5096890819 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 02/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 9055070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |