Provider Demographics
NPI:1457363889
Name:OLIARO, JERRY PATRICK (DO)
Entity type:Individual
Prefix:
First Name:JERRY
Middle Name:PATRICK
Last Name:OLIARO
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3000 LAWRENCE ST # 101
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3422
Mailing Address - Country:US
Mailing Address - Phone:720-616-9218
Mailing Address - Fax:916-987-8708
Practice Address - Street 1:101 ROCK CANYON CT
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-1834
Practice Address - Country:US
Practice Address - Phone:916-802-9050
Practice Address - Fax:916-987-8708
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6041207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine