Overton Medical LLC

NPI #1932349263 in Overton, Nevada

Provider Information

NPI Number: 1932349263
Entity Type: Organization
Organization Name: Overton Medical LLC
Primary Specialty: Internal Medicine
Enumeration Date: Feb 26, 2009
Last Updated: Feb 26, 2009

Practice Location

Address: 461 N MOAPA VALLEY BLVD
City: Overton
State: Nevada
ZIP Code: 89040
Phone: (702) 397-6344

Authorized Official

Name: VICTOR K LEAVITT
Title: PRESIDENT
Phone: (702) 397-6344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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