Individual
JOHN R. OVERBECK
Active
Individual
JOHN R. OVERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
24396
HI
207UN0901X
Nuclear Cardiology Physician
MD00035253
WA
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
MD00035253
WA
2085N0904X
Nuclear Radiology Physician
MD455386
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD.MD.00035253
WA
208D00000X
General Practice Physician
MD00035253
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130268
L&I PROVIDER NUMBER
WA
01
—
175496
L&I PROVIDER NUMBER
WA
05
—
8234643
—
WA
Enumeration date
01/05/2006
Last updated
07/02/2026
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