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Individual

SYLVIA A OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
40 FOUR MILE DR STE 7, KALISPELL, MT 59901-2655
(406) 314-6336
(406) 890-6711
Mailing address
40 FOUR MILE DR STE 7, KALISPELL, MT 59901-2655
(406) 314-6336
(406) 890-6711

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10806
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00143741
MT
Enumeration date
12/04/2006
Last updated
09/28/2020
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