Healthcare Provider Details

I. General information

NPI: 1265534085
Provider Name (Legal Business Name): JOSEPH OLIARO D.O.M.,D.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 06/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1119 CALLE DEL CIELO
SANTA FE NM
87507-5075
US

IV. Provider business mailing address

1119 CALLE DEL CIELO
SANTA FE NM
87507-5075
US

V. Phone/Fax

Practice location:
  • Phone: 505-473-7315
  • Fax: 505-471-1824
Mailing address:
  • Phone: 505-473-7315
  • Fax: 505-471-1824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number177
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0018
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number0018
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: