Organization
SPORTSMEDICINE OUTREACH SPECIALIST
Active
Organization
SPORTSMEDICINE OUTREACH SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DEAN OVERLIN PA-C (PHYSICIAN ASSISTANT)
(602) 689-9588
Entity
Organization
Contact information
Practice address
835 W WARNER RD, STE 101-448, GILBERT, AZ 85233-7269
(602) 689-9588
(480) 281-5224
Mailing address
835 W WARNER RD, STE 101-448, GILBERT, AZ 85233-7269
(480) 980-8206
(480) 281-5224
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3233
AZ
Other
Enumeration date
07/24/2018
Last updated
03/17/2026
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