Individual
DAVID WAYNE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1315 RUDDELL RD SE, LACEY, WA 98503-5701
(360) 357-8054
(360) 236-9703
Mailing address
5408 S BAY TER NE, OLYMPIA, WA 98516-9629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10001318
WA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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