| NPI | 1609267897 |
|---|---|
| Doing Business As | OLIVER ROAD FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JANET JUSTICE Director Of Operations 318-807-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2021-12-07 |