Search › Idaho › 207Q00000X
Eric Overton
NPI 1225448327 · on the registry since 2014
Practice
- Address
- 3217 W Bavaria St
Eagle, ID 83616 - Phone
- (208) 302-6200
- Fax
- (208) 302-6255
- Organisation at this address
- Oasis Pediatrics
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Additional practice sites
- 2000 W Bethany Home Rd, Phoenix, AZ
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- ID, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho