Individual
MR. JUSTIN DAVID OVERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1401 E TRENT AVE # 200, SPOKANE, WA 99202-2902
(509) 747-3147
Mailing address
1401 E TRENT AVE # 200, SPOKANE, WA 99202-2902
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
60899059
WA
Other
Enumeration date
10/13/2018
Last updated
10/24/2022
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