Individual
DR. RUTH LORENE OVERLEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2955 S BROADWAY, ENGLEWOOD, CO 80113-1526
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2654
CO
207Q00000X
Family Medicine Physician
Primary
49479
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023901
KAISER COMMERCIAL NUMBER
CO
05
—
71053255
—
CO
Enumeration date
04/07/2008
Last updated
06/01/2023
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