Individual
DR. IRA DAVIS OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3980 SHERIDAN DR, AMHERST, NY 14226-1727
(716) 929-2800
(716) 929-2819
Mailing address
6 FOUNTAIN PLZ, BUFFALO, NY 14202-2211
(716) 691-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
275049
NY
Other
Enumeration date
04/21/2010
Last updated
06/18/2015
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