Individual
DR. EVAN D. OWNBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-2712
(434) 200-2851
Mailing address
2410 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 200-2712
(434) 200-2851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01065468
IN
207R00000X
Internal Medicine Physician
01065468A
IN
207RI0011X
Interventional Cardiology Physician
Primary
0101256599
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000630016
ANTHEM BCBS
IN
05
—
200958160
—
IN
01
—
P00830933
RAILROAD MEDICARE
IN
Enumeration date
05/27/2008
Last updated
05/11/2016
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