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Individual

DR. OWEN F SPEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2051 HAMILL ROAD SUITE 301, HIXSON, TN 37343
(423) 877-1249
(423) 870-2765
Mailing address
2051 HAMILL ROAD SUITE 301, HIXSON, TN 37343
(423) 877-1249
(423) 870-2765

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116022730
VA
207Q00000X
Family Medicine Physician
Primary
2819
TN
207Q00000X
Family Medicine Physician
35703
SC
207QS0010X
Sports Medicine (Family Medicine) Physician
2819
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
35703
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
357036
SC
Enumeration date
06/14/2010
Last updated
06/08/2015
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