Individual
MR. OWEN RUSSELL MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 INDEPENDENCE PLAZA SUITE 900, BIRMINGHAM, AL 35209-2643
(205) 271-8000
(205) 271-8022
Mailing address
1 INDEPENDENCE PLAZA SUITE 900, BIRMINGHAM, AL 35209-2643
(205) 271-8000
(205) 271-8022
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25050
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009914239
—
AL
01
—
51546503
BCBS
AL
05
—
528400180
—
AL
Enumeration date
10/20/2006
Last updated
01/20/2011
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