Provider Demographics
NPI:1679789549
Name:OVERHISER, ANDREW JAMES (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:JAMES
Last Name:OVERHISER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1895 N JASPER DR STE 1
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1632
Mailing Address - Country:US
Mailing Address - Phone:928-773-2332
Mailing Address - Fax:928-213-6440
Practice Address - Street 1:1215 N BEAVER ST
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3120
Practice Address - Country:US
Practice Address - Phone:928-773-2200
Practice Address - Fax:928-773-2300
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2024-12-12
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Provider Licenses
StateLicense IDTaxonomies
AZ42636207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology