Individual
MR. MONTE H OVERHOLTZER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 MERCER ST, PRINCETON, WV 24740-3114
(304) 431-3533
(304) 487-2455
Mailing address
PO BOX 1560, PRINCETON, WV 24740-1560
(304) 431-3533
(304) 487-2455
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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