Individual
DR. OWEN ULMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 483-0011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24130
MS
207Q00000X
Family Medicine Physician
24130
MS
208D00000X
General Practice Physician
24130
MS
Other
Enumeration date
12/03/2014
Last updated
05/01/2018
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