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Individual

DR. STEPHEN DOUGLAS OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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