Individual
DR. STEPHEN DOUGLAS OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 MITYLENE PARK DR, MONTGOMERY, AL 36117-3548
(334) 260-8511
(334) 260-8755
Mailing address
2800 ROSS CLARK CIR, DOTHAN, AL 36301-2040
(334) 793-2211
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15332
AL
207W00000X
Ophthalmology Physician
Primary
15332
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051519737
—
AL
01
—
51506599
BLUE CROSS BLUE SHIELD
AL
01
—
51520273
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/03/2006
Last updated
06/24/2022
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