Doctor Name: | DANIEL L. OVERDECK |
NPI Number: | 1811915820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101236502 |
Business Practice Address: | 2722 Merrilee Dr Fairfax, VA - 220314400 |
Business Phone Number: | 7036984483 |
Business Fax Number: | 7035730880 |
Mailing Address: | Po Box 3650, FAIRFAX |
State: | VA |
Postal Code: | 220383650 |
Phone Number: | 7036984483 |
Fax Number: | 7035730880 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 01/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 0101236502 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |