Individual
DR. MARK W. OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 EAST MAIN STREET, FORT KENT, ME 04743
(207) 834-3101
(207) 834-3101
Mailing address
194 EAST MAIN STREET, FORT KENT, ME 04743-9977
(207) 834-3101
(207) 834-2917
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
018675
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2008
Last updated
09/28/2011
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