Individual
MR. DAVID CODY OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(844) 458-2100
Mailing address
3100 MEDICAL PKWY, CLAREMORE, OK 74017-1088
(844) 458-2100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
G080067502
OK
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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