Individual
DR. MATTHEW OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 977-5760
(865) 977-4788
Mailing address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(804) 350-1039
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34803
TN
Other
Enumeration date
09/01/2023
Last updated
10/12/2023
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