Individual
JOHN B OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 W ACACIA ST, SUITE 17, STOCKTON, CA 95203-2441
(209) 851-3883
(209) 851-3867
Mailing address
420 W ACACIA ST, SUITE 17, STOCKTON, CA 95203-2441
(209) 851-3883
(209) 851-3867
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C38023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOC380230
—
CA
Enumeration date
06/09/2006
Last updated
11/15/2016
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