Individual
ERIC OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3217 W BAVARIA ST, EAGLE, ID 83616-5171
(208) 302-6200
(208) 302-6255
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-16769
ID
207Q00000X
Family Medicine Physician
Primary
R74402
AZ
Other
Enumeration date
04/29/2014
Last updated
09/22/2022
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