Organization
OVERTON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR K LEAVITT (PRESIDENT)
(702) 397-6344
Entity
Organization
Contact information
Practice address
461 N MOAPA VALLEY BLVD, OVERTON, NV 89040
(702) 397-6344
(702) 397-6342
Mailing address
PO BOX 517, OVERTON, NV 89040-0517
(702) 397-6344
(702) 397-6342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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