Doctor Name: | HARRY R OWENS |
NPI Number: | 1467795419 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 806 |
Business Practice Address: | 306 West 5th Ave Nome, AK - 99762 |
Business Phone Number: | 9014433311 |
Business Fax Number: | |
Mailing Address: | Po Box 417, BLUE RIVER |
State: | OR |
Postal Code: | 974130417 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/28/2013 |
NPI Last Update Date: | 03/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |