NICHOLAS COOPER OVERTON

PARKERSBURG, WV
NPI1831725803
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WV  32518)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-20
Last Update Date2023-06-02
Business Address
NICHOLAS COOPER OVERTON
800 GARFIELD AVE
PARKERSBURG, WV 26101-5376
Phone number: 304-424-2355
Mailing Address
NICHOLAS COOPER OVERTON
PO BOX 9149
MORGANTOWN, WV 26506-9149
Phone number: 304-293-2436