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Individual

DR. OWEN TYLER OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2123
(336) 716-2261
(336) 716-9810
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2261
(336) 716-9810

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
12288464-1204
UT
2084N0400X
Neurology Physician
Primary
2020-03264
NC

Other

Enumeration date
04/07/2016
Last updated
10/08/2021
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