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1427072172

NPI Code Detail

MEDICARE: ROBERT V. OLIVER MD

MEDICARE: ROBERT V. OLIVER 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
1	207P00000X	Emergency Medicine Physician	G33457	CA
2	207P00000X	Emergency Medicine Physician	H9393	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00931028	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

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

General Provider Information

NPI Number	:	1427072172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT V. OLIVER MD

Provider Business Mailing Address
First Line	:	4535 DRESSLER RD NW
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44718-2545
Country	:	US
Telephone Number	:	330-493-4443
Fax Number	:	330-493-8677

Provider Business Practice Location Address
First Line	:	4001 J ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95819-3626
Country	:	US
Telephone Number	:	330-493-4443
Fax Number	:	330-493-8677

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/04/2011

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Directions to “ ROBERT V. OLIVER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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