Individual
DR. LARRY JOHN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5487
(928) 771-5471
Mailing address
PO BOX 11720, PRESCOTT, AZ 86304
(928) 771-5487
(928) 771-5471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35748
AZ
208M00000X
Hospitalist Physician
Primary
35748
AZ
Other
Enumeration date
06/09/2006
Last updated
03/06/2018
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