Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 22930 | WV |
NPI | 1013185172 |
---|---|
Provider Name | Dr. Albert Francois Olivier |
First Address | Beckley, WV 25801-2608 |
Second Address | Beckley, WV 25801-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2008 |
Last Update Date | 22/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D37393 | (02) |