Individual
DAVID GERARD OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 WEST 39TH STREET, KEARNEY, NE 68845-8001
(308) 865-2277
(308) 865-2523
Mailing address
615 WEST 39TH STREET, KEARNEY, NE 68845-8001
(308) 865-2277
(308) 865-2523
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
20991
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00076
BCBS
NE
05
—
47077661913
—
NE
Enumeration date
10/25/2005
Last updated
07/08/2007
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