Organization
DOUGLAS G OWEN, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS G OWEN M.D. (OWNER)
(859) 623-5070
Entity
Organization
Contact information
Practice address
312 JASON DR, SUITE #5, RICHMOND, KY 40475-2785
(859) 623-5070
(859) 623-2117
Mailing address
312 JASON DR, SUITE #5, RICHMOND, KY 40475-2785
(859) 623-5070
(859) 623-2117
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
23349
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64233497
—
KY
Enumeration date
02/15/2011
Last updated
02/18/2011
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