Provider Demographics
NPI:1043552474
Name:OLIVER, ALAN MARK (DO)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MARK
Last Name:OLIVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:13849 HADLEY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-1320
Mailing Address - Country:US
Mailing Address - Phone:913-685-8031
Mailing Address - Fax:913-685-8031
Practice Address - Street 1:13849 HADLEY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-1320
Practice Address - Country:US
Practice Address - Phone:913-685-8031
Practice Address - Fax:913-685-8031
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-24
Last Update Date:2013-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0530412207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine