Paul David Olivo, M.D.
Internal Medicine in Saint Louis, MO. Individual provider (NPI-1).
NPI number1043746027
StatusActive
Last updated in NPPESMay 11, 2017
Details
- NPI
- 1043746027
- Entity type
- Individual (NPI-1)
- Name
- Paul David Olivo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2017
- Last updated
- May 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | R8J70 | MO | Yes |
Practice location
639 W Polo DrSaint Louis, MO 63105-2635
Phone 314-640-9732
Mailing address
639 W Polo DrSaint Louis, MO 63105-2635
Phone 314-640-9732
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