Diane G Oliver, MD | |
2170 South Ave, South Lake Tahoe, CA 96150-7026 | |
(530) 542-3000 | |
Not Available |
Full Name | Diane G Oliver |
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Gender | Female |
Speciality | Pathology - Cytopathology |
Location | 2170 South Ave, South Lake Tahoe, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053373852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A21454 (California) | Primary |
207ZC0500X | Pathology - Cytopathology | A21454 (California) | Primary |
Entity Name | Tahoe Carson Valley Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508865528 PECOS PAC ID: 8426048158 Enrollment ID: O20040514000834 |
Entity Name | Barton Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
Mailing Address | Practice Location Address |
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Diane G Oliver, MD Po Box 10076, Van Nuys, CA 91410-0076 Ph: (805) 578-8300 | Diane G Oliver, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 542-3000 |
Dr. Roderick Randolph Turner, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5890 Fax: 530-543-0124 | |
Dr. Mindy Ellen Cooper-smith, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2170 South Ave, Barton Memorial Hospital Pathology, South Lake Tahoe, CA 96150 Phone: 530-412-2309 | |
Dr. Faye M. Smith-chakmakova, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-541-3420 |