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NPI Code Detail

MEDICARE: DR. THOMAS B WOLIVER MD

MEDICARE: DR. THOMAS B WOLIVER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianG39797CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619995057
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS B WOLIVER MD
Provider Business Mailing Address
First Line : 540 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4230
Country : US
Telephone Number : 805-563-5800
Fax Number : 805-898-3614
Provider Business Practice Location Address
First Line : 540 WEST PUEBLO STREET
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4230
Country : US
Telephone Number : 805-563-5800
Fax Number : 805-898-3614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/02/2013

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