Provider Demographics
NPI:1033107727
Name:OVERFIELD, A SCOTT (MD)
Entity Type:Individual
Prefix:
First Name:A
Middle Name:SCOTT
Last Name:OVERFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARLIE
Other - Middle Name:SCOTT
Other - Last Name:OVERFIELD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:101 BODIN CIR
Mailing Address - Street 2:60 MDOS/SGOMU
Mailing Address - City:TRAVIS AFB
Mailing Address - State:CA
Mailing Address - Zip Code:94535-1809
Mailing Address - Country:US
Mailing Address - Phone:707-423-5029
Mailing Address - Fax:707-423-5022
Practice Address - Street 1:101 BODIN CIR
Practice Address - Street 2:60 MDOS/SGOMU
Practice Address - City:TRAVIS AFB
Practice Address - State:CA
Practice Address - Zip Code:94535-1809
Practice Address - Country:US
Practice Address - Phone:707-423-5029
Practice Address - Fax:707-423-5022
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012314552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology