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Contact Information

LISA C OLIVER, MD
989 S MAIN ST STE A
COTTONWOOD, AZ86326-4602
 Phone: 928-679-3911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for LISA C OLIVER · (Female)

NPI Number 1326253444
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2007
Last updated 10/05/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 37680
  • AZ Medicaid 456224
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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