Individual
DR. CASEY RAY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1175 E 50 S, STE 221, AMERICAN FORK, UT 84003-2845
(801) 772-0775
(801) 772-1941
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6359060-1205
UT
207R00000X
Internal Medicine Physician
6359060-8905
UT
207RG0100X
Gastroenterology Physician
Primary
6359060-1205
UT
Other
Enumeration date
10/21/2007
Last updated
11/23/2016
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