Organization
OWENS MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN OWENS M.D. (OWNER)
(208) 219-9562
Entity
Organization
Contact information
Practice address
2131 S BONITO WAY, MERIDIAN, ID 83642-1659
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 1078, BURLEY, ID 83318-0947
(208) 219-9562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-10394
ID
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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