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Individual

SEAN M OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1800 US HIGHWAY 84 W, OPP, AL 36467-3520
(334) 579-3004
(334) 579-3005
Mailing address
1800 US HIGHWAY 84 W, OPP, AL 36467-3520
(345) 579-3004
(334) 579-3005

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2008016712
MO
207XX0801X
Orthopaedic Trauma Physician
Primary
43694
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
123587
CA LICENSE
CA
05
305474
AL
01
43694
AL MEDICAL LICENSE
AL
01
A15444A
MEDICARE
AL
Enumeration date
07/29/2008
Last updated
10/09/2024
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