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Individual

ERIK LARSEN OVERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
(208) 381-4556
Mailing address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3013
(986) 224-8368

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2171853
ID

Other

Enumeration date
05/25/2022
Last updated
06/26/2025
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