Provider Demographics
NPI:1518911742
Name:OLIVER, HOWARD W (DO)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:W
Last Name:OLIVER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:18031 US HIGHWAY 18
Mailing Address - Street 2:SUITE A
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2152
Mailing Address - Country:US
Mailing Address - Phone:760-242-7003
Mailing Address - Fax:760-242-7703
Practice Address - Street 1:18031 US HIGHWAY 18
Practice Address - Street 2:SUITE A
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2152
Practice Address - Country:US
Practice Address - Phone:760-242-7003
Practice Address - Fax:760-242-7703
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A5179207ZF0201X, 2083P0500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF01145Medicare UPIN