Individual
PHILIP OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 W. BOUTZ RD. BLDG #1, LAS CRUCES, NM 88005
(575) 532-7000
(575) 556-7131
Mailing address
205 W. BOUTZ RD. BLDG #1, LAS CRUCES, NM 88005
(575) 532-7000
(575) 556-7131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
94-115
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W6124
—
NM
Enumeration date
03/08/2006
Last updated
07/28/2010
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