Doctor Name: | MR. DAVID ARTHUR OLIPHANT |
NPI Number: | 1578564035 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC |
License Number: | 552 |
Business Practice Address: | 605 S Santa Cruz Ave Modesto, CA - 953544254 |
Business Phone Number: | 2093417152 |
Business Fax Number: | 2093414731 |
Mailing Address: | 740 Bluefield Ave, TURLOCK |
State: | CA |
Postal Code: | 953820314 |
Phone Number: | 2096680721 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |