Organization
LONG TERM CARE SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY W. OVERTON III D.O. (PHYSICIAN / PRESIDENT)
(515) 327-2089
Entity
Organization
Contact information
Practice address
5927 HIGHLAND CIR, WEST DES MOINES, IA 50266-2825
(515) 327-2089
(515) 440-4599
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
02075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IN PROCESS
—
IA
Enumeration date
08/13/2012
Last updated
08/13/2012
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