Individual
JEFFREY SCOTT OVERCASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
752 MEDICAL CENTER CT, SUITE 105, CHULA VISTA, CA 91911-6658
(619) 955-5246
(619) 656-9761
Mailing address
752 MEDICAL CENTER CT, SUITE 105, CHULA VISTA, CA 91911-6658
(619) 955-5246
(619) 656-9761
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
200400247
NC
207P00000X
Emergency Medicine Physician
Primary
A104007
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME0091008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270702100
—
FL
Enumeration date
10/10/2005
Last updated
01/21/2015
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