Individual
BRITA JO OVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7010 CHAUNCEY LN, SUITE 225, PHOENOX, AZ 85054-3117
(480) 585-5200
(480) 585-5233
Mailing address
7010 E CHAUNCEY LN, SUITE 225, PHOENIX, AZ 85054-3117
(480) 585-5200
(480) 585-5233
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4207
AZ
363AM0700X
Medical Physician Assistant
4297
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593232
—
AZ
Enumeration date
10/19/2008
Last updated
03/27/2012
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