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NPI Code Detail

MEDICARE: CHRISTOPHER GOLIVER MD

MEDICARE:   CHRISTOPHER  GOLIVER  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
1207P00000XEmergency Medicine Physician35.080275OH

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 : 1790756146
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER GOLIVER MD
Provider Business Mailing Address
First Line : 1605 MUIRFIELD DR
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-5213
Country : US
Telephone Number : 419-352-8591
Fax Number :
Provider Business Practice Location Address
First Line : 950 W WOOSTER ST
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-2603
Country : US
Telephone Number : 419-354-9810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 02/26/2008

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