Individual
DR. DENNIS PRAYTOR OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 313 ACC, BIRMINGHAM, AL 35209-6808
(205) 877-2910
(205) 879-4649
Mailing address
2022 BROOKWOOD MEDICAL CTR DR, SUITE 313 ACC, BIRMINGHAM, AL 35209-6808
(205) 877-2910
(205) 879-4649
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6429
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326008129
NPI
AL
01
—
1922068774
GROUP NPI
AL
01
—
515-02222
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/24/2006
Last updated
07/08/2007
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