Individual
OWEN L MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(425) 407-1500
Mailing address
PO BOX 94484, SEATTLE, WA 98124-6784
(425) 407-1500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
120508
MT
Other
Enumeration date
06/13/2019
Last updated
05/26/2023
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