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Individual

DR. MATTHEW THOMAS OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1313 13TH ST S, BIRMINGHAM, AL 35205-5327
(205) 934-3411
Mailing address
1219 GUSDORF RD STE A, TAOS, NM 87571-6499
(888) 758-0009

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD.33858
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD.33858
AL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD2018-0146
NM

Other

Enumeration date
05/01/2013
Last updated
06/06/2019
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