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NPI Code Detail

MEDICARE: DR. SEAN D OVERTON M.D.

MEDICARE: DR. SEAN D OVERTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician347903-1205UT
2207LC0200XCritical Care Medicine (Anesthesiology) Physician347903-1205UT

General Provider Information

NPI Number : 1659580777
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN D OVERTON M.D.
Provider Business Mailing Address
First Line : 127 S 500 E
Second Line : 600
City : SALT LAKE CITY
State : UT
Zip : 84102-1959
Country : US
Telephone Number : 801-587-6336
Fax Number :
Provider Business Practice Location Address
First Line : 750 W 800 N
Second Line :
City : OREM
State : UT
Zip : 84057-3660
Country : US
Telephone Number : 801-714-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 11/10/2021

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Directions to “ DR. SEAN D OVERTON M.D.” Practice Location

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