Individual
ELIZABETH A OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14506 W GRANITE VALLEY DR, 124, SUN CITY WEST, AZ 85375-6010
(623) 584-2127
(623) 584-1257
Mailing address
13943 N 91ST AVE, #C-101, PEORIA, AZ 85381-3629
(623) 760-9449
(623) 974-9351
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2928
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070006426
RAILROAD MEDICARE
AZ
01
—
0852663
AETNA
AZ
01
—
1447208822
AHCCCS
AZ
01
—
1702257
UNITED HEALTHCARE
AZ
01
—
188961600
DEPT OF LABOR WORK COMP
AZ
01
—
1Z1513
HEALTH NET
AZ
05
—
347428
—
AZ
01
—
99S007000004
MEDISUN
AZ
01
—
AZ0227610
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/05/2006
Last updated
10/04/2013
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