Individual
MAXWELL OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 CAMDEN AVE, SALISBURY, MD 21801-6837
(410) 543-6000
Mailing address
76 DEER CREEK RD, PITTSFORD, NY 14534-4148
(585) 402-8669
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
MA064452
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2015
Last updated
04/25/2023
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